Reimbursements
Accurate, Timely Provider Reimbursement
Prime reimburses providers efficiently and within the time frames established for each product line, whether payment is made directly by Prime or through our clients.
Competitive reimbursement aligned to product, market, and provider participation.
Our reimbursement structure is flexible by design, supporting different product requirements, market conditions, and network participation models.
Billed Charges
Reimbursement may be based on billed charges depending on the product line and agreement structure.
Medicare-Based Rates
Reimbursement may be determined using the applicable Medicare rate in the provider’s geographic area.
State Fee Schedules
For Workers’ Compensation and Auto Liability, Prime may apply fee schedules established by the provider’s state.
Customized Prime Fee Schedule
Prime can create a customized fee schedule for providers interested in joining our national PPO network.
Contact Us Today
Our team can assist with contracting questions, reimbursement concerns, and claim-specific payment inquiries.