Ensuring Healthy Member and Provider Relationships

Our Provider Relations services include:

  • Performing full assessment of member and provider grievance process and dispute resolution process
  • Conducting new policy review/impact on member or provider
  • Researching, planning, and executing educational workshops
  • Supporting efforts to reduce issues with repeat providers and/or members
  • Ensuring provider and member communication does not impact OIG/AG cases
  • Consulting on payment methodology changes/impacts
  • Providing other consultative support

Questions? Click below to contact us with your questions.

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We work with a number of federal and state agencies as well as commercial enterprises.

Logo for the United States Department of Health & Human Services.
Logo for the United States Centers for Medicare & Medicaid Services.
Keystone logo for the Commonwealth of Pennsylvania with PA inside.
Logo for the Texas Department of Health & Human Services.
Logo for the Texas Star Kids health plan.
Logo for the West Virginia Department of Health & Human Services.
Livanta logo.
Gateway Health logo.
Logo for Highmark Wholecare.
Learn More

Quick glance downloadable PDF with experience, Federal and State certifications, NAICS codes, DOBE designation, and corporate information.