Provider Network Support Services

MediCall has designed a suite of complementary service offerings to reduce many of the clinical and professional tasks that Workers' Compensation networks perform in the course of providing the highest quality services to their clients. Our objective is to allow our clients to focus on the critical key differentiators within their core business practices while eliminating time-consuming routine tasks, ensuring increased productivity for your employees.

MediCall's service model supports:

Broad-based Preferred Provider Organizations

• Provider Verification/Panel Card Verification
• Credentialing/Re-credentialing
• PPO Bill Re-Pricing Services
• PPO Appeals/Reconsiderations
• PPO Provider Relations Call Support

Pharmacy Benefits Management Organizations

• Injured Worker outreach and education
• Drug Utilization Review Programs
• Brand to Generic conversions
• Suitable Alternative Therapeutic Equivalent Intervention
• Payer Authorizations
• Formulary Compliance

Ancillary Provider Network Organizations (Diagnostic, Physical Therapy, Home Health, Durable Medical Equipment, etc.)

• Network Credentialing/Re-credentialing
• Provider Bill Re-Pricing Services
• Provider Appeals/Reconsiderations
• Provider Relations Call Support
• Appointment/Delivery Confirmation