 UNYHEALTH
provides multiple services for our customers,
including:
- A
Single Signature Contract for All Members in the
Network
- Maintaining
a Credentialed Provider Network
- Enhanced
Communication Among Network Providers and Payors Regarding
Specific Benefit Plan Design and Plan Operation
- Cooperative Assistance with Plan Administration Issues
for Quality Assurance, Utilization Review, and Dispute
Resolution Across the Network
- Delegated
Credentialing Opportunities
- Network
Access Analysis
When evaluating contracting opportunities, UNYHEALTH
uses a number of guidelines relating to benefit plan
design and plan operation. These guidelines include the
following:
- A Significant Payment Differential For In-Network
Versus Out-Of-Network Benefit Coverage
- UNYHEALTH Logo on
Member Identification Cards
- Claims Payment in Thirty Days
- Payers Identified in the Contract
- Plans Offered in Open
Enrollment
- Restrictions on Network Leasing
- Carve Out Subcontractors Identified in the
Contract
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