Group Health
Committed to Quality
At Prime Health Services, we leverage the power of Renovo Technology Solutions to provide innovative healthcare cost containment services for the group health market. Our technology-driven platform and extensive network solutions enable insurance carriers, TPAs, and employers to customize their networks and streamline claims processing—without sacrificing speed or accuracy.
Why Choose Prime Health Services?
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Technology-Driven Efficiency
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Custom Network Solutions
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Commitment to Data Integrity
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Proven Network Adequacy
Web-based tools with sub-second response times for claims validation and processing.
Options based on Medicare discounts, geographic carve-outs, and threshold discounts to maximize savings.
We follow URAC and NCQH credentialing standards and are a member of the Synaptic Health Alliance.
With our Healthy Network Report, provider nomination system, and dedicated relations team, you always get the coverage you need.
Comprehensive National Coverage
With 850,000+ providers across all 50 states, we offer:
Logo & Non-Logo PPO Networks
Wrap & Narrow Networks
Physician-Only Networks
Custom Networks
Network & Cost Containment Solutions
Logo Full Network
Our Logo Full Network provides extensive access to a broad national provider base. Clients benefit from:
✔️ Recognizable network branding for ease of provider acceptance
✔️ Comprehensive national access to physicians, hospitals, and specialists
✔️ Pre-negotiated discounts for cost savings
Supplemental PPO
The Supplemental PPO serves as a secondary network to enhance primary network coverage by:
✔️ Filling gaps in network access for out-of-network claims
✔️ Providing additional discount opportunities beyond the primary PPO
✔️ Ensuring continuity of care by covering providers outside the standard network
Bill Review Services
Our advanced Bill Review solutions ensure claims accuracy and maximize cost savings through:
✔️ Automated claim auditing to identify billing discrepancies
✔️ UCR (Usual, Customary & Reasonable) and Medicare-based pricing reviews
✔️ Fraud, Waste & Abuse detection for additional cost containment
Technology-Driven Claims Management
✔️ Real-Time Claims Editing
Instant validation, repricing, and compliance checks
✔️ Front-End Edits
Reduces errors and claim severity before processing
✔️ Seamless Integration
Fully automates PPO network and invoicing processes
To Make Requests For
Further Information,
Contact Us!

Call Us Or Email For Any inquiry
Phone: (866) 348-3887
Email: info@primehealthservices.com