Rate Solutions
PRODUCT HIGHLIGHTS
Since 2007 Advantria has provided solutions to clients who operate certain federally sanctioned programs operated by the IHS, Tribes or Tribal organizations and Urban Indian programs and access Medicare Like Rates. Advantria ensures that your MLR eligible claims are repriced correctly, quickly allowing you to maximize savings.
PRODUCT HIGHLIGHTS
Since 2007 Advantria has provided solutions to clients who operate certain federally sanctioned programs operated by the IHS, Tribes or Tribal organizations and Urban Indian programs and access Medicare Like Rates. Advantria ensures that your MLR eligible claims are repriced correctly, quickly allowing you to maximize savings.
WHY USE ADVANTRIA FOR MEDICARE LIKE RATES?
EXTENSIVE MEDICARE PAYMENT METHODOLOGY EXPERIENCE
Advantria has extensive experience across a large number of groups utilizing Medicare Like Rates. As with Dialysis Claim Solutions, Advantria has supported several different types of programs and our experience allows our clients to benefit from our connection to the marketplace as well as reduced costs from economies of scale.
SPECIALIZED PRODUCT DESIGN AND SUPPORT
Our program is designed by the group to ensure their specific needs are met. In fact, we worked directly with our Tribal clients as soon as the Federal Regulations were finally published in 2007 to create Medicare Like Rate Solutions.
Advantria does not push or advocate for a specific Summary Plan Design, but rather supports all aspects of the client’s decision.
This is an improvement over a one size fits all approach, where one or more parties are more protective of their position rather than the client’s position.
THIRD PARTY RELATIONSHIP
Working with Advantria eliminates the need for an in-house solution regarding Medicare reimbursements. Building expertise in house just may not be feasible. Further, one must maintain relationships across networks and providers across the rest of their medical claims. Advantria provides a third party, directly contracted contact, outside the ordinary claim flow.
ACCURATE REPRICING & PROVIDER SUPPORT
Advantria has extensive experience in repricing, Medicare reimbursements and provider negotiations. These are the same resources we utilize when handling a group’s Catastrophic Claim Solutions and Dialysis Claim Solutions cases. This allows Advantria to accurately provide claim reimbursements and manage provider inquires.
EXTENSIVE MEDICARE PAYMENT METHODOLOGY EXPERIENCE
Advantria has extensive experience across a large number of groups utilizing Medicare Like Rates. As with Dialysis Claim Solutions, Advantria has supported several different types of programs and our experience allows our clients to benefit from our connection to the marketplace as well as reduced costs from economies of scale.
SPECIALIZED PRODUCT DESIGN AND SUPPORT
Our program is designed by the group to ensure their specific needs are met. In fact, we worked directly with our Tribal clients as soon as the Federal Regulations were finally published in 2007 to create Medicare Like Rate Solutions.
Advantria does not push or advocate for a specific Summary Plan Design, but rather supports all aspects of the client’s decision.
This is an improvement over a one size fits all approach, where one or more parties are more protective of their position rather than the client’s position.
THIRD PARTY RELATIONSHIP
Working with Advantria eliminates the need for an in-house solution regarding Medicare reimbursements. Building expertise in-house just may not be feasible. Further, one must maintain relationships across networks and providers across the rest of their medical claims. Advantria provides a third party, directly contracted contact, outside the ordinary claim flow.
ACCURATE REPRICING & PROVIDER SUPPORT
Advantria has extensive experience in repricing, Medicare reimbursements and provider negotiations. These are the same resources we utilize when handling a group’s Catastrophic Claim Solutions and Dialysis Claim Solutions cases. This allows Advantria to accurately provide claim reimbursements and manage provider inquires.
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