Specialty Networks
More Than A PPO Network
PRIMEsurgical ‘All-In’ bundled pricing.
- Surgeon’s preliminary visit
- Surgeon’s post procedure visit
- Surgery
- Facility charges
- Anesthesiologist
- Pathologist
- Hardware, implants (DME)
- Imaging & pharmacy fees
A key component is all-inclusive bundled pricing in the aggregate with no hidden fees or details of various components involved with each surgical procedure.
PRIMEsurgical specializes in over 28 commonly performed muscular skeletal surgeries.
The process is simple, call 855-747-7874 to speak with a PRIMEsurgical Advocate to locate a surgeon/facility.
PRIMEhearing
Join us, and save big on hearing.
Clients accessing the Prime Health Services PPO (PrimePPO) Network will receive significant savings on hearing solutions. Additionally, our program offers…
- Audiological Review Process ensures accurate eligibility and product placement details.
- Program is easily accessible to clients utilizing Prime Health Services PPO Network.
- A nationwide network of Audiologists and Hearing Aid Dispensers with over 3,000+ credentialed provider locations.
- As a Prime Health Services client you receive cost reduction and containments strategies saving you thousands of dollars per hearing loss claim.
- Access to the Prime Hearing affinity program for all employees.
Finally, Prime Hearing offers ease of access. A hearing injured patient or person needing hearing aid services will be directed to an in-network provider who will do audiology, fitting, and supply the product all in one place.
If you’re a current Prime Health Services client, Case Managers and Adjustors need only to call our intake number 1.877.760.3830 to get started today!
PRIMEime
Additional medical management services offered.
The goal of these additional services is to provide our clients with an unbiased assessment to assist with adjudication requirements and challenges, as well as provide cost effective solutions to claims management.
Independent Medical Evaluations (IME) – An objective, third party medical exam of an individual to establish; causation, treatment appropriateness, return to work, restrictions, impairment ratings, and maximum medical improvement.
Peer Reviews – An evidence based review conducted by actively practicing physicians versed in the latest medical research and current guidelines to establish an informed opinion about the appropriateness of care, medical necessity, experimental/investigational, and related issues.
FMLA Assessments – An objective assessment to establish if the employee meets the criteria of a serious health condition, from the clarification level up to a third opinion.
Impairment Ratings – Prospective/concurrent analysis of impairment ratings by trained physicians to determine the accuracy, based on the AMA Guidelines.
Utilizing Prime Health Services’ PPO network of directly contracted medical providers, in addition to having access to MLS Group of Companies accredited national network of physicians and allied medical professionals gives a client access to service across the entire United States. All major specialties and subspecialties are available, with expertise in a wide variety of areas ensuring that clients have access to the most thoroughly vetted, credentialed, and trained professionals. We look forward to providing accurate, objective, and comprehensive reviews utilizing innovative technology and swift turnaround times.
To request services or for further information, please call 888-657-4634 toll-free.