Logic Cadence makes provider network reconciliation easy
Our proven process takes the headache out of provider network reconciliation.
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OUR APPROACH
Whether your plan needs one-time reconciliation or ongoing maintenance, our provider network reconciliation process increases compliance, improves claims processing, and, most importantly, makes sure members FIND the care they need.
Logic Cadence developed a clean-data approach through partnerships with Medicare Advantage plans facing the obstacles created by unreconciled provider networks. By outsourcing provider network reconciliation to our team of experts, you can reduce staffing needs, decrease your internal team’s workload, save money, and help your members find care. Logic Cadence can tailor provider network reconciliation services to your plan’s needs, from initial one-time reconciliation to ongoing reconciliation support.
Logic Cadence helps health plans:
Ensure members can find the care they need
Achieve, maintain, and ensure compliance
Increase accuracy of claims processing
Reduce staffing requirements and workload
Increase financial stability
Logic Cadence also understands the challenges of changing provider group ownership. So, we’ve designed our process to help provider groups improve data management from the beginning. Starting with clean data makes it easier for members to find in-network care, decreasing their out-of-pocket costs as well as cost to the plan.
How does it work?
We make provider network reconciliation simple with our proven five-step process.
01
Network Analysis
02
Contract Inventory & Organization
03
Provider OutReach
04
Reconciliation
05
Final Reporting
Some of the plans we’ve partnered with
Be your health plan’s hero
Our expert provider network reconciliation process helps your plan:
Increase compliance
Maintain adequate networks
Process claims quickly and accurately
Know you’re paying the right amount
Reduce reprocessing rates
Improve provider relationships
Retain quality providers
Avoid complications associated with changing ownership
Improve data management
Better understand your range of contracts
Schedule your free consultation today
Let’s talk about how our provider network reconciliation process can help your plan achieve compliance, accuracy, adequacy, and efficiency.