The Challenge
Property and casualty 鈥 Network-based
An auto medical services provider wanted to distinguish its network-based cost management program to sensitive auto insurance carriers by demonstrating:
- Minimal provider noise through the use of network contracts to reduce medical cost
- Effective dispute resolution processing
The Solution
野花社区 customized a process for the company to document success in resolving disputes:
- Custom reports to oversee its internal escalation process and compliance with turnaround time requirements
- Monitoring tool to gauge its staff鈥檚 compliance with internal processes and guidelines
- Proactive dispute resolution to alleviate carrier concerns, often more perception than reality
The Results
野花社区鈥檚 program enables superior carrier retention:
- Dispute rate less than 1% of bills processed
- Consistent achievement of contractual turnaround time obligations