Network Development
 

Continuously Expanding NetworkPrimary PhysicianCare, Inc.'s Preferred Provider Organization (PPO) network includes more than 8,000 physicians employed in hospitals and facilities throughout the Southeast.  Our highly-competitive contracts enable us to provide our self-insured members with savings that are similar to those of large insurance companies.  Meanwhile, the low turnover and inherent stability of the Primary PhysicianCare PPO network enables members and their families to build stronger and more lasting relationships with their physicians.  We are expanding our network continuously as part of our dedication to offering greater choices to all plan members. Read More...

 

Direct Contracting

Flexibility in Choice.  While our PPO network is highly efficient at controlling plan cost, Primary PhysicianCare offers an additional option.  A Direct Contract between an employee and a local healthcare provider can further reduce the costs to our members.  We facilitate Direct Contracts using our network management staff and executive support.  Depend on our fully-integrated approach to arrange meetings with key providers, to negotiate fees, to provide necessary legal contracts, and to arrange auto-adjudication.  Read More…

 

National Network Options


Nationally-acclaimed Networks.  Primary PhysicianCare is dedicated to meeting the needs of our members.  This is why we provide them with access to a wide range of PPOs—from the best local and regional networks to large nationally-acclaimed PPOs.  Our PPO strategy grants members a high-degree of access while still managing plan costs.   And, for all of the major networks, we have automated PPO routing technology implemented so that claims are repriced quickly.

Benefits Administration

Providing totally integrated administrative services
to self-insured employers for over 30 years.
Controling healthcare costs while
delivering exceptional service.

Read More...

Case Rate Negotiation

Pre-service negotiation of pricing, before the encounter. Re-directing care to more
cost-effective providers.

Read More...         

Prevention Management

Health Advocates support plan members by
educating them on the importance of early
detection, prevention and primary care
bonding.

Read More...