Group Health
Group Health · Powered by Renovo
Build the network strategy around the plan.
Prime helps brokers, TPAs and health plans combine flexible provider access, configurable claims support and connected technology into one clearer Group Health solution.
One partner, three perspectives
Different priorities. One flexible Group Health strategy.
Choose your perspective to see how Prime supports the outcomes your organization is responsible for.
Differentiate the recommendation
Bring clients more than a network quote.
Prime helps brokers shape a clearer Group Health strategy around each client’s workforce, geography and cost-containment priorities—without forcing every opportunity into the same model.
- Broader choice across full, wrap, supplemental and targeted network options
- A more consultative story connecting access, claims support and technology
- Dedicated support from solution design through implementation
Explore the solution
Flexible network access. Connected cost containment.
Select a capability to see how each component can address a focused need or work together through Renovo as one coordinated Group Health solution.
Capabilities
Broad access
Support member access across diverse populations and markets.
Prime provides a flexible PPO foundation that can support national, regional or layered Group Health strategies while helping clients address access needs at the market and provider level.
- National provider access across all 50 states
- Practitioner and facility access supported by dedicated provider relations
- Provider nomination and network-gap support
Broad reach with room to configure.
A connected approach
From population needs to operational performance.
Prime connects the commercial strategy and the claims operation so the network is not treated as a static directory or a standalone discount.
Assess the plan
Review population, geography, existing access and program priorities.
→Design the network
Select the access model, markets and network layers that support the plan.
→Align the workflow
Configure claim routing, network logic, review paths and integrations.
→Monitor performance
Use reporting and operational visibility to evaluate and refine the strategy.
✓The infrastructure behind access
Built for the work that keeps a network dependable.
Network strategy requires more than provider reach. Prime supports the data, credentialing and relationship work that helps access remain usable over time.
Credentialing discipline
Credentialing support aligned to recognized NCQA and URAC standards.
Ongoing screening
Routine monitoring and exclusion-screening processes support data integrity.
Provider relations
Dedicated support for nominations, contracting, questions and access needs.
Network oversight
Coverage and performance views help teams understand where the strategy is working.
Technology solutions
Connect the strategy. Configure the operation.
Renovo brings network, claims and performance workflows together so clients can automate routine decisions while retaining control over the rules and visibility that matter.
Configurable workflows
Client-specific rules, routing and review logic designed around the program.
Connected integrations
API and data-exchange options that support cleaner operational continuity.
Decision visibility
Reporting and processing detail that make the workflow easier to understand.
Client access
Portal, dashboard and reporting tools that support day-to-day oversight.
Start a conversation
Build a Group Health strategy around your market and clients.
Tell us where your current network or claims model creates limitations. We’ll show you how Prime and Renovo can bring access, flexibility and operational control into one clearer solution.
To Make Requests For
Further Information,
Contact Us!
Call Us Or Email For Any inquiry
Phone: (866) 348-3887
Email: info@primehealthservices.com