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An Accurate & Timely Reimbursement Process
Prime takes pride in either directly, or from our client's reimbursing our providers efficiently and within the time frame allotted for each product line.
Prime mandates all Workers' Compensation claims be paid within 45 days. Claims for all additional product lines must be paid within 30 days. Prime values the relationship with each provider and efficient reimbursement is the hallmark of an outstanding PPO network. Less than 1% of all claims filed by Prime providers are disputed.
Prime seeks to offer a competitive reimbursement to all providers.
We accomplish this by offering different methods. For example, a provider may be reimbursed based upon billed charges, the Medicare rate in the providers’ area or the fee schedule set forth by the providers’ state for Worker’s Compensation and Auto Liability. In addition, Prime has the ability to create a customized Prime Health fee schedule for each provider wishing to join our national PPO network.