National Behavioral Health Plan Signs New Agreement with PRIME
PRIME selected by Plan to perform an independent audit of active non-responsive practitioners and groups
PRINCETON, N.J., March 9, 2021 (Newswire.com) - PRIME is pleased to announce a new contract with one of the nation's leading providers in behavioral health, medical specialty treatment, and fully integrated managed care. This contract expands PRIME's existing relationship with the Plan to include outreach and validation requirements for active practitioners and provider groups that have not complied with the annual California Senate Bill 137 (CA SB 137) audit. CA SB 137 requires commercial insurers and health plans to meet uniform standards and provide timely updates for their provider directories.
Bob Branchini, CTO of PRIME, explains, "This additional audit service expands our relationship with the Plan and will improve the success rate of their CA SB 137 outreach efforts. The PRIME team remains focused on building solutions that assist health plans with reducing costs and improving healthcare outcomes." PRIME's innovative platform offers healthcare providers and practitioners a simple, convenient way to update their provider data and meet CA SB 137-specific requirements, such as notifying plans and insurers within five business days as to whether a provider is accepting new patients.
About the National Behavioral Health Plan
The National Behavioral Health Plan is a Fortune 500 company and a leader in managing a wide range of complex health spheres, including special populations, pharmacy benefits, and other specialty areas of healthcare. It supports and fosters innovative, technology-driven healthcare solutions while focusing on the crucial personal relationships necessary for achieving a healthy, vibrant life. It serves health plans, other managed care organizations, employers, labor unions, governmental and military agencies, as well as third-party administrators.
About PRIME
PRIME offers innovative healthcare solutions that help health plans improve interoperability with health systems and healthcare providers. PRIME provides a combination of technological innovation, including AI and ML, along with highly trained staff to conduct direct provider outreach resulting in verified provider data with the completeness, timeliness, and quality that enables health plans to achieve their compliance, accuracy, and member experience goals.
Press Contact
Karthik Chalamala
[email protected]
(609) 256-4585
Source: PRIME
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Tags: CA SB 137, Health Plan, Managed Health Care, PRIME, Provider Data, Provider Network Management
