The Services of AIH and Beacon
AIH contracts directly with employers and other health care consumers as a credentialed network of physicians. Beacon offers employers and other buyers of health care services an integrated network of physicians, hospitals, and other health care providers that can be accessed through a single contract. AIH and Beacon continue to develop their regional provider network. For specific health care services that cannot be provided within Eastern North Carolina, AIH and Beacon are contracting with specialty physicians, hospitals, and other health care providers outside of the region
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Provider network services
- 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;
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Medical management programs
- 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.
- Utilization management system
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
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Patient advocacy program
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;
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Health plan offerings
- 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.
Employer Health Plan Offerings
AIH and Beacon can work directly with your insurance company, or if your company is self-insured, your third party administrator ("TPA"). AIH and Beacon offer:
- A regional network of physicians, hospitals, and other health care providers;
- Medical management services; and
- Information reporting capability for health plan management.
Beacon can provide employers with additional health plan choices. Through a preferred relationship with several "A" rated Insurance Companies, Beacon can offer fully insured health plans and administration services for self-insured employers. These products and services are the proprietary health plan programs marketed and managed by Beacon. Beacon only works with rated "A - Excellent" by the insurance rating agency, A.M. Best, and have a track record of superior performance as an insurance company and health plan administrator.
The distinguishing feature is that AIH and Beacon are accountable, and actually seek to be measured, as to the accessibility, cost-effectiveness, and quality of patient care offered directly to employers and other health care consumers. Participating AIH physicians have been selected by their peers, are credentialed, and agree to negotiated, competitive pricing. Our private label health plans provide employers with health plan options that are marketed and managed exclusively within the communities of Eastern North Carolina.
If you have any questions, please feel free to contact our office at (877) 514-0057. Our hours are Monday through Thursday, 8 AM to 5 PM - Friday 8 AM to 12 PM.
AIH Updates