• AIH regional physician network credentialed to guidelines established by the National Committee for Quality Assurance (“NCQA”);
• Integrated health system and regional network of credentialed physicians, hospitals, home health and infusion services, pharmacies, and other health care providers offered by Beacon through a committed model of single signature contracting;

• Use of primary care physicians as patient care managers and advocates;
• Provider credentialing using NCQA standards;
• Quality assurance;
• Provider profiling and performance feedback;
• Wellness and preventive health services.

For information on these services, please contact your Human Resources Department Or TPA listed on your Health Care Card

• Medical director services;
• Pre-cert. of facility admissions;
• Concurrent on-site review of facility admissions and discharge planning;
• Pre-cert. of outpatient diagnostic and surgical procedures;
• Case management;
• Authorization of durable medical equipment, mental and behavioral health, and home health services

For information on these services, please contact your Human Resources Department Or TPA listed on your Health Care Card

• Assistance in resolving issues with physician offices and other health care providers;
• Assistance in resolving billing issues and related concerns;

• Small group, fully insured health plan managed and marketed by Beacon and underwritten and administered by A rated Insurance Companies for employers of 2 to 100 employees;
• Third Party Administrative services offered by experienced companies and placement of reinsurance or stop-loss coverage;
• Reinsurance programs and coverage for self-insured groups.
• Information reporting
• Financial reports tailored to employer needs;
• Utilization reports, including provider profiling.