Corehealthbenefits.com

Disease Management

WebCore Health Services Disease Management Program does that by using the software data mining tool, Sightlines™ Medical Intelligence (formerly D2Hawkeye). This powerful tool …

Actived: 7 days ago

URL: https://corehealthbenefits.com/disease-mgmt.cms

Utilization Review and Management

WebOne of the greatest challenges is providing high-quality, yet cost-effective care for Plan Participants. Core Health Services is responding to these challenges through our …

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Medical Case Management

WebOnce a high-risk case is identified, CMRG provides the level of case management services required by the intensity of the case in the most cost-effective manner possible. The key …

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Custom Medical Provider Networks

WebManaging medical costs with proven strategies and industry relationships. Strong partnerships with hospitals, physicians and medical providers in your market. Powerful provider network agreements which ensure access to …

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CORE MANAGEMENT RESOURCES: MUSHIP Coverage Period: …

Webrch/ or call First Health at 1-800-226-5116. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. Be aware, …

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Frequently Asked Questions

WebBudget considerations, bargaining agreements, geography and plan design each have an effect on the way a health plan is funded. For many employers with more than 100 …

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Core Management Resources Homepage

WebThe student health insurance program rates are age banded per semester. These rates can be found on page 2 of the Schedule of Benefits Summary. IMPORTANT NOTE: ** You …

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Core Management Resources Homepage

WebIf coverage is lost during the enrollment periods, see (Q12). You can request the Enrollment Application by emailing us at [email protected] or calling our toll …

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Mercer University Student Health Insurance Program …

Web2023-2024 Mercer University Student Health Insurance Program (MUSHiP) P a g e | 1 Eligibility Important: Unless a qualifying event occurs, eligible students may enroll only …

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Claims Management

WebCMRG PROTOCOL. Three-point contact is made on all lost time and questionable claims within 24 hours of the receipt of the WC-1 (electronically or fax). Initial contact is made …

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Core Management Resources Homepage

WebHealth Insurance enrollment & waivers are available the following dates and must be completed by the deadline for the semester/session that you are enrolled: Summer 2024 …

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Third Party Administrative Services

WebCMRG serves as a Third-Party Administrator (TPA) for the administration of self-funded healthcare benefit products. All services and functions are performed in-house to afford …

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Provider Network Optimization

WebControlling costs requires the cooperation of physicians and hospitals. CMRG 's provider network agreements provide access to a wide variety of physicians and hospitals at the …

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Accounting and Eligibility

WebYear-end reporting of 1099's, monthly HCRA reporting, weekly check registers, and Form 5500 filings are also generated by the Accounting and Eligibility department. If you need …

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