Managed Care Contract Management is a service that provides the necessary information, training and management support to individual physicians and their staff. This allows physicians to increase managed care revenues, minimize the time spent with managed care administration, and reduce the loss of established patients due to managed care network structures.

COR's capabilities :
  • Review, evaluate and negotiate any substantive changes with managed care agreements, currently in effect. This includes IPA and PHO participation agreements and any obligations under these agreements.
  • Solicit, review, negotiate and make recommendations relative to participation in new managed care agreements.
  • Complete applications for credentialing and recredentialing.
  • Offer seminars to update office staff on managed care developments, marketplace changes and other topics of interest.
  • Assist with problems stemming from utilization management or quality assurance programs, claims payment, or credentialing when normal resolution efforts have been unsuccessful.
  • Provide up-to-date information on local and national managed care activities and trends.
  • Consult with physicians to determine future plans regarding managed care activities.
  • Review managed care agreements, improve or provide operations manuals and renegotiate agreements as appropriate.
  • Provide a "report card" on managed care activity and financial impact of each managed care contract.


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