Offering delegated credentialing and ongoing data maintenance consistent with NCQA standards
Ongoing contract management
Quality monitoring and reporting of our Network Agency Partners
Providing training and education regarding payer programs and policies
Reduction of out of network costs through referral management, statewide coverage, and absorption of out of network provider charges
Handling all aspects of provider customer service including billing, claims status and payment questions
Aggregates all provider claim submissions reducing payer claim issues and ensuring clean claims
Development and implementation of successful care management initiatives through our extensive network of home care agencies. Delivering proven results targeted to reduce hospital re-admissions and corresponding costs while improving outcomes. CSI to provide on-site training to select agencies who will deliver the program the oversight and management of the program