As an insurance company administering workers’ compensation claims, it is key to have access to the right provider network for your company. Many factors go into selecting a provider network, and it can quickly become overwhelming to sift through the network options that are available. The following are tips and insights meant to assist you as you search for a provider network that benefits both your company and your claimants.
To begin, you will want to determine whether a potential partner organization includes providers in its network that are well-versed with the workers’ comp industry. Work comp claims tend to be more complex, so it is important that you partner with an organization that prioritizes the inclusion of providers who have experience with work comp injuries.
As you evaluate a potential partner organization’s network, you will also want to assess the size of the network. Generally, it will be most beneficial to your company and your claimants if the provider network is sizable. Ideally, providers should be located throughout the United States. This ensures your claimants have access to quality care no matter where they are located.
Providers should always be thoroughly credentialed before being accepted into a network as well. This credentialing process should include a thorough review of the level and quality of care offered by each provider. Once providers are accepted into the network, re-credentialing should occur on a regular basis, such as at least once every three years. Furthermore, providers in the network need to be monitored to ensure they continue to offer high quality care for your work comp claimants.
Once you have determined that a work comp provider network offers high quality care, you must determine whether the network offers contracted rates. Providers that offer contracted rates on all physician prescribed services are an asset when it comes to cost containment around work comp claims.
Northwood is an experienced durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS), pharmacy and ancillary service provider with a sizable work comp provider network that spans the United States. The providers in Northwood’s network prioritize quality care for work comp claimants while offering contracted rates on all physician prescribed services.
In addition to this network, in over three decades in the work comp industry, Northwood has established processes and procedures designed to benefit insurance companies as well as their claimants. From offering a customer care line for examiners as well as claimants to its ability to integrate with any claims payment system, Northwood is a trusted partner for work comp insurance companies.
Please contact Rosanne Brugnoni at 586-755-3830 ext. 3771 for a customized review of how Northwood and its work comp provider network will benefit your insurance company.
Leave a reply →