We operate 24/7 with a team of highly skilled medical staff and efficient system processes. Our primary goal is to determine member eligibility and promptly issue treatment authorizations, all in accordance with the terms and conditions of the applicable coverage. What sets us apart from our regional competitors is our ability to provide these services within the shortest possible time, ensuring a superior experience for our clients.

Our team consists of competent staff members who possess specific skills and expertise at various levels. We prioritize regulatory compliance, ensuring that we consistently meet all necessary requirements. Our policy interpretation and coverage decisions are accurate and timely. Additionally, we provide prompt and appropriate reinsurance reporting, both internally and externally. We are committed to maintaining compliance with internal and external audits, ensuring that our processes are consistently of the highest quality.

Customer service is at the heart of what we do, and we strive to provide consistent, top-notch service to all our clients. We have implemented an effective litigation management process to handle any legal matters that may arise.

Overall, our dedication to excellence in staffing, compliance, policy interpretation, reinsurance reporting, customer service, and litigation management sets us apart from our competitors in the region.