Our Capabilities

Provider Network Operations

Streamlining Provider Network Access With
a Comprehensive Suite of Capabilities

Our team of experts handles all aspects of medical provider network management, so you can focus on what matters most – employees' well-being.

LET'S TALK
networkoperations-2
 

Unmatched Expertise in Provider Network Operations

Provider Data Management & Services

We use a variety of methods to keep up-to-date provider information through provider data management (PDM) processes. Our provider data services (PDS) strive to ensure the provider directories reflect accuracy in provider details.

Dedicated Claims

We have a dedicated team that ensures your reimbursement is accurately processed, so claims are paid correctly and flow smoothly.

Network Adequacy & Provider Search Directory

We meticulously analyze our network's adequacy, to ensure your employees have access to the right specialists and care facilities within their geographic area. Our comprehensive provider search directory empowers informed healthcare choices for your employees.

Uncompromising Quality & Data-Driven Insights

Healthcare Highways goes beyond basic network operations. We leverage advanced technology and analytics to ensure the highest quality care for your employees.

  • Credentialing: Our rigorous credentialing process verifies provider qualifications, ensuring your employees receive care from qualified professionals.

  • Machine-Readable Files (MRFs): We generate and maintain MRFs, enabling seamless data exchange with providers and enhancing operational efficiency.

  • Repricing & Analytics: We utilize sophisticated tools to analyze provider charges and identify opportunities for cost optimization. This allows us to negotiate better rates and deliver significant cost savings for your organization.

quality-data-driven-insights

Partner With Us

Experience the power of a well-managed, cost-effective provider network.

START THE CONVERSATION