When Prime is your primary PPO
No-Cost Bill Review
With Integrated PPO Savings
Bill review is included at no added cost, helping you see spend, savings, and allowed amounts clearly from day one.
Prime Integrated Essentials (PIE) brings together PPO access, included bill review, structured workflows, and clearer savings visibility in one streamlined model.
What’s Included in Prime Integrated Essentials (PIE)
PIE is designed to simplify the path from PPO savings to bill review visibility, helping clients better understand medical spend, allowed amounts, and savings outcomes.
Integrated Access From Day One
When Prime serves as the primary PPO, eligible bills can move through a connected PPO and bill review workflow, helping reduce friction across the process.
Bill Review at No Added Cost
PIE includes base-level bill review when Prime is the primary PPO, giving clients a cleaner way to evaluate savings without creating a separate bill review burden.
Clearer Spend and Savings Insight
Clients can see charges, allowed amounts, PPO savings, and bill review impact through a more organized and measurable structure.
Cleaner Workflows, Less Complexity
PIE helps streamline how bills are received, reviewed, processed, and reported, giving teams a simpler model to manage and explain.
How PIE Works
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Prime as Primary PPO
PIE starts with Prime positioned as the primary PPO, creating a cleaner foundation for savings and bill review visibility.
The goal is simple: connect PPO savings and bill review insight in one more measurable model.
How PIE Works
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Prime Integrated Essentials
PIE starts with Prime positioned as the primary PPO, creating a cleaner foundation for savings and bill review visibility.
- Prime PPO access is placed at the front of the workflow.
- Eligible bills can be reviewed within a connected process.
- Clients gain a more complete view of spend and savings from day one.
When Prime is the primary PPO, base-level bill review is included at no added cost.
- Eligible bills receive PPO savings review and base-level bill review support.
- The model helps reduce separate review costs and fragmented workflows.
- Savings can be evaluated more clearly across the process.
PIE helps clients see medical spend, allowed amounts, and savings impact in a more organized structure.
- Charges, reductions, allowed amounts, and savings can be reviewed together.
- Reporting is structured to support clearer internal conversations.
- Stakeholders gain a more complete picture of the value being delivered.
PIE brings PPO access and bill review into a cleaner, more connected operating model.
- Bills can be submitted through Renovo or existing feeds.
- Workflow steps are easier to track and manage.
- Clients get a simpler model with fewer moving parts.
Ideal Partners for Prime Integrated Essentials (PIE)
PIE is especially well-suited for organizations looking for a simpler, more measurable way to connect PPO access and bill review insight.
TPAs, employers, carriers, and bill review platforms evaluating a new primary PPO.
Organizations seeking a low-friction way to measure Prime’s impact on medical spend.
Stakeholders who need clearer, more defensible savings visibility.
See how PIE can simplify PPO savings and bill review visibility.
Contact Prime Health Services to discuss Prime Integrated Essentials and request a savings review.