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Prism Healthcare Resources - Home

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. FOR HEALTH INSURANCE PAYERS. Reduce Claim Costs And Stay In Control. In today s health insurance world the management of costs are critical. For claim administrators, insurance companies, HMOs, union trust funds and self funded employers claims costs, are out of control. And options for reducing costs are not always clear. Consider using the PRISM Medical Claim. Prism offe...

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Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. FOR HEALTH INSURANCE PAYERS. Reduce Claim Costs And Stay In Control. In today s health insurance world the management of costs are critical. For claim administrators, insurance companies, HMOs, union trust funds and self funded employers claims costs, are out of control. And options for reducing costs are not always clear. Consider using the PRISM Medical Claim. Prism offe...
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Prism Healthcare Resources - Home | prismhcr.com Reviews

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Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. FOR HEALTH INSURANCE PAYERS. Reduce Claim Costs And Stay In Control. In today s health insurance world the management of costs are critical. For claim administrators, insurance companies, HMOs, union trust funds and self funded employers claims costs, are out of control. And options for reducing costs are not always clear. Consider using the PRISM Medical Claim. Prism offe...

INTERNAL PAGES

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1

Prism Healthcare Resources - Claim Overpayment Audit Software

http://www.prismhcr.com/prismmedicalclaimanalysis/claimoverpaymentauditsoftware.html

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. Claim Overpayment Audit Software. Retrospectively review 100% of claims without the pressure of making timely payments. Identify members and claimants needing to provide new information about paid claims that was not known at the time of payment (such as other coverage available). Detect recurring claim payment errors and anomalies. Claim Overpayment Audit Services. Provid...

2

Prism Healthcare Resources - Provider Network Analysis

http://www.prismhcr.com/prismmedicalclaimanalysis/providernetworkanalysis.html

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. PRISM utilizes advanced analytical tools to assess the value of a provider network, or the comparative values of multiple provider networks. The assessment can target network negotiated fees, network access with current utilization patterns and steerage capabilities. Determine if one or more provider networks provides adequate coverage for a member population.

3

Prism Healthcare Resources - PRISM Medical Claim Analysis

http://www.prismhcr.com/prismmedicalclaimanalysis.html

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. PRISM Medical Claim Analysis System. Claim Overpayment Audit Software. Provider Managed Care Negotiations.

4

Prism Healthcare Resources - Authorization On Demand

http://www.prismhcr.com/prismproviderservices/authorizationondemand.html

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. A NEW APPROACH TO PRIOR AUTHORIZATIONS. It is no secret that today s reimbursement environment creates the need to seek out cost effective solutions that increase productivity and allow practice staff to focus on patient care. Reduce your time on the phone with insurance companies. Never get behind again! Outsource solution with a 95% success rate. Ability to change the pa...

5

Prism Healthcare Resources - PRISM Provider Services

http://www.prismhcr.com/prismproviderservices.html

Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. PRISM Provider Managed Care Services. Claim Overpayment Audit Software. Provider Managed Care Negotiations.

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Experience / Depth / Perspective. PRISM Medical Claim Analysis. Claim Overpayment Audit Software. Provider Managed Care Negotiations. FOR HEALTH INSURANCE PAYERS. Reduce Claim Costs And Stay In Control. In today s health insurance world the management of costs are critical. For claim administrators, insurance companies, HMOs, union trust funds and self funded employers claims costs, are out of control. And options for reducing costs are not always clear. Consider using the PRISM Medical Claim. Prism offe...

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Medical Claim Analysis System. Welcome to PRISM Healthcare Resources LLC - the preferred tool for claim recovery. We offer web access to a state of the art system with powerful capabilities:. Identify medical claims paid by a health plan that should have been the responsibility of a workers compensation, automobile injury or personal injury plan;. Detect potential medical claim overpayments;. Software assistance for managing the recovery of these claims;.

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