Preferred Medical Claim Solutions (PMCS) (www.pmcsonline.com) announced today that a three year contract has been executed with Government Employees Hospital Association, Inc. (GEHA) (www.geha.com). The contract follows an eight-month pilot program, which is standard practice for GEHA. Through the utilization of the automated PMCS Preferred Data Interchange (PDI), PMCS will now negotiate and advance fund GEHA's out-of-network medical claims utilizing the PMCS Advance Funded Provider (AFP) program. PDI was developed by PMCS and is compatible with numerous operating systems.
Paul F. Caliendo, President and CEO of PMCS states, "This business partnership has afforded a very valuable opportunity for both of our organizations. We are honored to announce that GEHA has elected to utilize PMCS' unique cost containment solution, and we are confident that our AFP program will reduce their loss-ratio and lessen their administrative burden." Caliendo went on to say "Gene Maloney, Vice President of Sales for PMCS and our entire team worked diligently over the past 18 months with GEHA to secure this business relationship."
According to Julie Browne, GEHA Vice President, "GEHA is pleased to begin this partnership with PMCS. After extensive review, including a pilot program and audit, we have found PMCS to be an excellent choice for service, technology and overall results."
About Government Employees Hospital Association
GEHA is a leading insurer in the federal market, providing health and dental plans for federal employees, federal retirees, and their families. GEHA has more than 225,000 health plan members and provides health insurance to more than 400,000 people across the nation and around the world. Their growing preferred provider organization (PPO) network is one of the largest in the nation. Founded in the 1930's, GEHA was one of the first insurance carriers to provide coverage to federal employees under the Federal Employees Health Benefits Act.
About PMCS
Preferred Medical Claim Solutions (PMCS) is the proven "Leader in Claim Settlement," with the nation's first and only Advance Funded Provider (AFP) program. Clients of PMCS have access to a cost containment solution that seamlessly incorporates into their daily claim processing routine. Founded in 1998, PMCS established a Preferred Data Interchange (PDI) between Payors and Providers to facilitate the processing of medical claims that were deemed eligible, but were submitted by medical providers not associated with the Payors primary network. PMCS continues to be a progressive partner in the healthcare industry with its services proven to efficiently reduce paperwork, disputes and the time it takes to render payment for services. By automating and streamlining the claim settlement process, PMCS has enabled its business partners to save millions of dollars. Read more about Preferred Medical Claim Solutions.
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