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Group Health

Committed to Quality

While a variance of group health insurance has been in existence since the Civil War in the United States, it wasn’t until 1929 when the first modern group health insurance plan was formed.

In Dallas, Texas, a group of teachers made a groundbreaking move when they entered into a contract with Baylor Hospital to receive healthcare services in exchange for a monthly fee. This momentous decision ultimately paved the way for the industry we have today – where group health insurance is a standard offering provided by many employers to their employees.

At Prime Health Services, we are dedicated to helping you and your team save on healthcare costs. We recognize that there is a crucial need to connect employees with quality medical providers, and we are here to step in and fulfill that role. With our extensive network of healthcare professionals, including primary care physicians, physical therapists, urgent care centers, and hospitals, we strive to build lasting relationships that benefit both patients and providers.

Whether you are a self-insured employer, a corporation working with a third-party administrator (TPA), or an association, we have you covered with our wrap network, physician-only network, and narrow network options. We understand the needs of both patients and providers, and we work tirelessly to ensure that our networks provide the highest level of care and coverage possible. Let us help you add value to your network stack and provide your employees with the quality healthcare they deserve.

PHYSICIAN ONLY NETWORK

A seamless solution for reference based pricing, the PRIME physician only network (PRIMEpon) allows our clients flexibility and increased network coverage.

Claims Edits

Prime Health Services offers advanced, seamless claims review software that delivers maximum savings on medical claims and full alignment with industry-recognized guidelines and ever-changing compliance requirements.

REFERENCE BASED PRICING

Prime Health can offer a fully bundled or unbundled program for reference based pricing to self-insured employer groups who are looking for a cost containment strategy.

In Everyone’s Best Interest

By contracting with quality health care providers, Prime keeps medical costs down for the patient as they have a readily available network of physicians and facilities to meet their needs without enduring the expense of going out of network for their care. The healthcare providers benefit from an increased patient base and timely payment of claims, thus reducing administrative costs.