Add a white branded supplement to your existing services that provides email, phone or video chat access to highly trained, experienced medical advocates who, through a 3-Tier system, can field questions, recognize problems and identify solutions ranging from benefit plan questions through highly complex, challenging medical questions.
Tier 1: Insurance/Benefits Explanation
Explanation of SOB
In-network and out-of-network costs
Tier 2: Billing/Coding and Insurance
Comprehensive bill organization
Line item review of each bill for errors and omissions
Claims review and EOB
Negotiation with collection agencies for a reasonable payment plan
Tier 3: Comprehensive Healthcare Advocacy and Navigation
Real time answers to complex medical issues
Education for best utilization of healthcare system
Experienced, expedited access to best care
Identification of best in-network providers and facilities
Cost comparison for tests and procedures
Early detection, prevention and wellness through education, monthly newsletter and most up-to-date material, followed by ongoing guidance and support towards a healthier
lifestyle to encourage health and resilience
Confidential support and education for mental health and addiction
Wrap around care management of chronic diseases: diabetes, asthma, depression, etc.
Education on appropriate use of an emergency room with identification of appropriate alternatives
A cost/employee/month (that pricing has a range depending on the number of people: the cost goes down with more employees)
A cost/hour that is a $100/hour effective
Our billing is line itemized, completely transparent, and we bill to the minute, with no rounding up.
Every contract starts with a three-month trial: This enables us to work closely with you to ensure absolute cohesiveness between companies and excellent customer service in meeting the needs of all employees. We are flexible and can change easily to needs not anticipated, whether staffing, pricing or services rendered. We stay engaged to ensure quality care.
Prism looks forward to providing a comprehensive service that guarantees your ability to expand and differentiate your client support. Additionally, our medical advocacy provides personal, experienced healthcare guidance at a time most needed for all your employees.
We educate, support, and empower patients and families as they navigate the complexities of healthcare.