Logic Cadence makes provider network reconciliation easy

Our proven process takes the headache out of provider network reconciliation.

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Network Reconciliation

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:

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Ensure members can find the care they need

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Achieve, maintain, and ensure compliance

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Increase accuracy of claims processing

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Reduce staffing requirements and workload

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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:

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Increase compliance

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Maintain adequate networks

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Process claims quickly and accurately

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Know you’re paying the right amount

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Reduce reprocessing rates

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Improve provider relationships

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Retain quality providers

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Avoid complications associated with changing ownership

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Improve data management

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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.

Network Reconciliation