Clients
Prime separates from our competitors by offering clients the best solutions for challenging needs.
Prime Health Services combines experience, flexibility, and dedicated support to deliver healthcare technology and network solutions that are built around your goals.
We’re Established
Prime Health offers experience and an entire suite of additional services to customers.
Founded in 2001, Prime Health Services has grown into a leading healthcare technology and solutions provider, transforming how organizations manage pricing, processing, and performance.
With over 20 years of experience, we’ve built a vast national delivery system encompassing 700,000 providers and facilities across all 50 states and the District of Columbia.
Our latest innovation, Renovo Technology Solutions, serves as a comprehensive, customizable platform designed to streamline healthcare operations. Renovo empowers businesses with cutting-edge features like API integration, real-time network savings, automated workflows, and advanced bill processing.
Additionally, we provide advanced solutions such as Prime Metrics, PrimeRX — a proprietary pharmacy management platform — and Prime IME Solutions, delivering nationwide Independent Medical Examinations.
We’re Different
Unlike other PPO networks, Prime Health Services is not part of a corporate behemoth.
We are not a legacy PPO network. Prime Health Services is a dynamic healthcare technology company focused on delivering innovative, data-driven solutions.
Our independence allows us to remain agile, giving us the flexibility to develop and implement tailored strategies that maximize savings and improve outcomes for our clients.
Rather than forcing clients into rigid models, we focus on customizable structures and smarter workflows designed around your operational realities.
We’re Dedicated
We know many factors play into choosing the right network, and we’ll work with you.
We understand that selecting the right healthcare technology solutions is critical to achieving your business goals.
At Prime Health Services, we work hand-in-hand with you to deliver technology-driven tools like Renovo, custom-tailored workflows, and end-to-end solutions that address your unique needs.
Our mission is to enhance your operational efficiency, cost containment, and overall success through a more responsive and collaborative approach.
What if networks could be more customized?
Prime Health is built to deliver a more adaptable, technology-driven experience with the scale, independence, and support clients need in a changing market.
We’re Established
Founded in 2001, Prime Health Services has grown into a leading healthcare technology and solutions provider, transforming how organizations manage pricing, processing, and performance.
With over 20 years of experience, we’ve built a vast national delivery system encompassing 700,000 providers and facilities across all 50 states and the District of Columbia.
Our latest innovation, Renovo Technology Solutions, serves as a comprehensive, customizable platform designed to streamline healthcare operations. Renovo empowers businesses with cutting-edge features like API integration, real-time network savings, automated workflows, and advanced bill processing.
Additionally, we provide advanced solutions such as Prime Metrics, PrimeRX — a proprietary pharmacy management platform — and Prime IME Solutions, delivering nationwide Independent Medical Examinations.
Prime separates from our competitors by offering clients the best solutions for challenging needs.
Prime Health Services combines experience, flexibility, and dedicated support to deliver healthcare technology and network solutions that are built around your goals.
We’re Established
Prime Health offers experience and an entire suite of additional services to customers.
Founded in 2001, Prime Health Services has grown into a leading healthcare technology and solutions provider, transforming how organizations manage pricing, processing, and performance.
With over 20 years of experience, we’ve built a vast national delivery system encompassing 700,000 providers and facilities across all 50 states and the District of Columbia.
Our latest innovation, Renovo Technology Solutions, serves as a comprehensive, customizable platform designed to streamline healthcare operations. Renovo empowers businesses with cutting-edge features like API integration, real-time network savings, automated workflows, and advanced bill processing.
Additionally, we provide advanced solutions such as Prime Metrics, PrimeRX — a proprietary pharmacy management platform — and Prime IME Solutions, delivering nationwide Independent Medical Examinations.
We’re Different
Unlike other PPO networks, Prime Health Services is not part of a corporate behemoth.
We are not a legacy PPO network. Prime Health Services is a dynamic healthcare technology company focused on delivering innovative, data-driven solutions.
Our independence allows us to remain agile, giving us the flexibility to develop and implement tailored strategies that maximize savings and improve outcomes for our clients.
Rather than forcing clients into rigid models, we focus on customizable structures and smarter workflows designed around your operational realities.
We’re Dedicated
We know many factors play into choosing the right network, and we’ll work with you.
We understand that selecting the right healthcare technology solutions is critical to achieving your business goals.
At Prime Health Services, we work hand-in-hand with you to deliver technology-driven tools like Renovo, custom-tailored workflows, and end-to-end solutions that address your unique needs.
Our mission is to enhance your operational efficiency, cost containment, and overall success through a more responsive and collaborative approach.
What if networks could be more customized?
Prime Health is built to deliver a more adaptable, technology-driven experience with the scale, independence, and support clients need in a changing market.
We’re Established
Founded in 2001, Prime Health Services has grown into a leading healthcare technology and solutions provider, transforming how organizations manage pricing, processing, and performance.
With over 20 years of experience, we’ve built a vast national delivery system encompassing 700,000 providers and facilities across all 50 states and the District of Columbia.
Our latest innovation, Renovo Technology Solutions, serves as a comprehensive, customizable platform designed to streamline healthcare operations. Renovo empowers businesses with cutting-edge features like API integration, real-time network savings, automated workflows, and advanced bill processing.
Additionally, we provide advanced solutions such as Prime Metrics, PrimeRX — a proprietary pharmacy management platform — and Prime IME Solutions, delivering nationwide Independent Medical Examinations.
Notices and Updates
State Compliance
Prime Health works hard to remain in compliance with the various requirements of our governments and court systems.
Prime Health Services maintains a Compliance Department to ensure that Prime Health and Prime Health’s clients remain in compliance with each state’s ever-changing laws, rules, regulations, and court decisions. Our continuous evaluation of the regulations that govern state certifications/filings allows our company and clients to offer the most up-to-date and progressive services and products to our customers.
Take a Tour of the Markets We Serve
Claim Disputes
We have a dedicated repricing and reconsideration department working with providers and partner networks to resolve claim disputes.
Prime Health works toward clean claims with no disputes and no reimbursement issues. While disputes are a natural part of PPO networks, our team is structured to respond quickly, clearly, and with a strong focus on resolution.
Fast, organized dispute resolution
Clients may submit disputes by email or fax. Once reviewed, Prime Health provides written resolution details and next steps if further reconsideration is needed.
How Prime Health handles disputes
The goal at Prime Health is to have all clean claims with no disputes and no reimbursement issues. However, part of the nature of a PPO network is addressing disputes, and the industry average is around 3% of claims.
Prime Health is proud to maintain an average dispute rate of 1.2%. Clients may submit disputes by email to claimdisputes@primehealthservices.com, by fax to 615-329-4411, or by calling the Claims Resolution Department at 1-866-348-3887.
Prime Health is dedicated to a fast response for disputed claims where a Prime Health discount was applied. Our average turnaround for dispute resolution is 3 to 5 business days. Upon resolution, clients are advised in writing of the outcome and any instructions for further reconsideration if necessary.
Clear communication and faster review
Organizing the required information up front helps our team review disputes more efficiently and respond with clearer next steps.
Dedicated repricing and reconsideration support
Written response after review
Multiple submission options
EOB/EOR Listing Issues
The EOB/EOR, Explanation of Benefits or Review, does not properly list Prime Health or the applicable Partner Network.
Contract Recognition Issues
The provider does not recognize their contract with Prime Health or the applicable Partner Network.
Repricing Error
An error occurs in the repricing of the claim with Prime Health or the client.
Please include the following when submitting a dispute
Subject Line Name
Include the provider name and/or patient name in the subject line.
EOB/EOR and Claim Copy
Provide a copy of the EOB/EOR and the corresponding claim being disputed.
Explanation of Dispute
Include a brief explanation of the dispute or the actual appeal letter.
Contact Information
Provide the contact name and phone number of the person disputing.
Claim Disputes
We have a dedicated repricing and reconsideration department working with providers and partner networks to resolve claim disputes.
Prime Health works toward clean claims with no disputes and no reimbursement issues. While disputes are a natural part of PPO networks, our team is structured to respond quickly, clearly, and with a strong focus on resolution.
Fast, organized dispute resolution
Clients may submit disputes by email or fax. Once reviewed, Prime Health provides written resolution details and next steps if further reconsideration is needed.
How Prime Health handles disputes
The goal at Prime Health is to have all clean claims with no disputes and no reimbursement issues. However, part of the nature of a PPO network is addressing disputes, and the industry average is around 3% of claims.
Prime Health is proud to maintain an average dispute rate of 1.2%. Clients may submit disputes by email to claimdisputes@primehealthservices.com, by fax to 615-329-4411, or by calling the Claims Resolution Department at 1-866-348-3887.
Prime Health is dedicated to a fast response for disputed claims where a Prime Health discount was applied. Our average turnaround for dispute resolution is 3 to 5 business days. Upon resolution, clients are advised in writing of the outcome and any instructions for further reconsideration if necessary.
Clear communication and faster review
Organizing the required information up front helps our team review disputes more efficiently and respond with clearer next steps.
Dedicated repricing and reconsideration support
Written response after review
Multiple submission options
EOB/EOR Listing Issues
The EOB/EOR, Explanation of Benefits or Review, does not properly list Prime Health or the applicable Partner Network.
Contract Recognition Issues
The provider does not recognize their contract with Prime Health or the applicable Partner Network.
Repricing Error
An error occurs in the repricing of the claim with Prime Health or the client.
Please include the following when submitting a dispute
Subject Line Name
Include the provider name and/or patient name in the subject line.
EOB/EOR and Claim Copy
Provide a copy of the EOB/EOR and the corresponding claim being disputed.
Explanation of Dispute
Include a brief explanation of the dispute or the actual appeal letter.
Contact Information
Provide the contact name and phone number of the person disputing.
Client Portal & Claim Disputes
Direct clients to the portal for claim dispute access and streamlined submission support.
Open Client PortalTo Make Requests For
Further Information,
Contact Us!
Call Us Or Email For Any inquiry
Phone: (866) 348-3887
Email: info@primehealthservices.com