Guide plan design for healthcare payers. Suggest list of covered and non-covered services. Code details and HIPAA regulations.
Guidance on preventive care services, procedure codes applied and conditions of payment. Maintain and update with changes..
Medical and Hospital
Medical and Hospital bills review for medical necessity.
Help participants select the medical provider of service with use of Millenium.com
Consultation on covered services and prepare medial policies with code level details on diagnosis and procedures.
Help with information on updates on Federal and State regulations on healthcare and advise on compliance
Pre-authorization of services
Pre-authorization of services – act as the medical department for Self-insured employer health plans, Union Welfare Fund related plans and Third Party Administrators paying medical claims