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National Provider Network
PCC customizes its provider network to meet the needs of each client. Providers meet strict criteria and agree to follow utilization and peer review guidelines while agreeing to a discounted fee schedule or other reimbursement methodologies. PCC currently contracts with chiropractors throughout the nation.
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Utilization Management/Review
While PCC strives to make chiropractic care available to everyone
needing it, our utilization management is second to none yet it
remains “user friendly”. This reduces costs and insures
treatment quality and consistency. All PCC utilization review
is performed by licensed chiropractic physicians.
• Claims Processing
PCC partners with Infinedi as our claims clearinghouse. Infinedi offers a network discount for our providers to access their multi-faceted line of services. Infinedi can provide services ranging from electronic submission to benefits verification, office management and electronic payments. Infinedi has been endorsed by the American Chiropractic Association and works closely with the ACA to help track utilization data in the chiropractic industry. Through Infinedi Analytics, providers have the opportunity to see trends and patterns in their patient base that can lead to greater efficiencies in their practice management.
Visit www.infinedi.net
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Provider Support
PCC works closely with our providers to ensure they are given
every opportunity to provide effective and efficient care to their
patients. This includes support material for the provider and
educational material for the patient. PCC is available to conduct
short educational seminars for employer or client groups. By providing
education and creating an ergonomically sound work environment,
a Plan will see chiropractic claims and dollar amounts from medical
claims reduced.
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Managed Care Contracting
PCC currently contracts with many managed care entities, including
PPO’s, EPO’s and HMO’s. We welcome the opportunity
to submit a competitive bid for chiropractic services in any area
of the managed care market on either a local or national level.
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