Alpha Review Corporation offers more than 20 Regional and National PPO networks. These networks total over 4 million contracted providers. Our "Find a PPO Provider" portal significantly increases the number of patients utilizing PPO providers.
Services
- Electronic bridges with PPOs - current, accurate contractual repricing
- Direction to contracted providers through our website
- Analysis of our clients' coverage needs
- Custom PPO network hierarchy for each client
Features
- Maximize network coverage
- 1099 review for custom network access
- Quarterly network review to ensure best network penetration
- Less "noise" from providers
Pharmacy Benefit Management (PBM)
After extensive review of PBM offerings, Alpha Review Corporation can recommend PBMs for our client's needs. Electronic connectivity is already in place with these networks. Additionaly, we are able to work with any PBM our client may prefer.
Durable Medical Equipment (DME)
Alpha Review Corporation is contracted with multiple DME networks available to our clients.
Services/Features
- Prospective and Retrospective program
- Acquisition of any equipment needs
- Great discount rates
- Electronic connectivity
Diagnostic Imaging Networks
Alpha Review Corporation is contracted with multiple Diagnostic Imaging networks nationwide.
Services/Features
- Prospective scheduling of appointments
- Negotiation of a discounted rate on retrospective appoints for in-network providers
- Electronic connectivity
Health Ticket
Alpha Review Corporation offers our clients the ability to utilize an electronic health ticket. Our clients can expect a reduction in claims costs from 10 to 40%.
Services
- Increased PPO Network penetration
- Increased Ancillary carve-out penetration
- Enhanced PBM programs and First Fill Capture
- Injured Workers and Medical Providers self referral to preferred suppliers
- Increase in early and effective case management
Features
- Eliminates "silent" PPO liability
- PPO Network Access direction and ability to control costs
- PPO Compliance tool
- Claim communication tool
- Elimination of provider confusion and push back on PPO Network discounts
- Compliance with Regulatory Environments
- Provider satisfaction and compliance with Cost Containment Strategies
- Prescription Drug Card and approved Pharmacy information
- Utilization Review requirements
