International Care Network - Cost Containment and Medical Services




COMPREHENSIVE MEDICAL CARE MANAGEMENT Utilization Management Preauthorization Review Diversion to Contract Providers Second Opinion Referrals Outpatient (Ambulatory) Review Inpatient (Concurrent) Review			Case Management Short Term Out of Area

CLAIMS MANAGEMENT Our experience in claims and provider services review, allows us to maximize the cost containment potential in every case. Claims Review ICN's average claims processing time is 24 hours or less during which 75% of all claim reviews including negotiations are concluded. A total of 95% of all bill reviews and repricing activity is completed in 48 hours or less. Exceptional cases are handled by our case managers with the assistance of medical record review in consultation with board-certified specialists, and, where necessary, additional research which may require additional time.
REPRICING Our unique system allows our experienced managed care staff to provide "customized" claims management for our clients in the following areas: Repricing to network rates Appropriate services billing Proper coding practices Screening for duplicate claims Coordination of benefits with insurance company Third party liability investigation
NEGOTIATIONS We use a negotiation strategy that provides the greatest possibility for a win-win medical cost containment outcome, for both provider and payer. As part of the settlement with each provider, a confirmation settlement document is sent and must be returned prior to the conclusion of the case. Savings to 50% of billed charges
NETWORK MANAGEMENT International Care Network maintains a network of contracted health care delivery programs throughout the world that include participation with: Qualified Preferred Provider Organizations (PPOs) Cost containment services Out-of-network claims management Air ambulance service contracts Nationally Recognized transplant programs via Centers of Excellence Specialized tertiary and urgent care programs Ancillary and long term care services
SPECIALIZED PRODUCT SUPPORT Proprietary software for directing members to contracted providers Contracted air ambulance companies On demand interpretation services in 140 different languages Registered nurses available by phone, 24 hours a day, 7 days a week Toll-free help line for non-urgent medical questions Detection and control of inappropriate provider billing practices or excessive fees Emergency cash advance Lost passport and travel document assistance Lost baggage assistance Embassy/Consulate location service Emergency message relay service Return of vehicle Coordination of benefits/Third party liability management
CUSTOMER SERVICE Our case managers are considering each situation with personalized attention, thus making the process a smooth and pleasant experience for all the parties involved
INTERNATIONAL TRAVELER'S ASSISTANCE Urgent-emergent provider referrals with appointment assistance available 24 hours a day, 7 days a week All-inclusive options for emergency hospitalization, including stabilization for repatriation Coordination with physicians contracted with major hotels Special "Help Line" - Advisory/Counseling service On demand interpretation in 140 languages Hospital admittance deposit/guarantee Registered nurse case managers devoted to and highly trained in travel related medical case management, emergency hospitalization and stabilization for repatriation Assistance for travel companions Internationally contracted network including physicians, hospitals and ancillary providers ready to provide on-call access to qualified medical providers in many countries. Arrangements for elective medical procedures at U.S. centers of Excellence Emergency prescription replacement