Kings Daughters Medical Center in Kentucky remains out-of-network for PEIA, regardless of their network status with the PPO . Our platform impacts the entire payer supply chain from the way a member finds their doctor, to the payments happening in the background. . What are the key mechanics and capabilities that will better serve your target populationseither clinically, economically, or through other benefits and preferences? The best health plans use data to iterate on design and improve over time. Provider Login Request. This step can be iterative with plan construction, and ultimately plays into captive pools and stop loss for individual plans. Flume Health Plans save employers an average of $4,862 per employee* Hours of Operation. BLS-n/a Pulmonary Disease Location MUSC Health Rutledge Tower 135 Rutledge Ave, Charleston, SC 29425 843-876-0111 Directions Call Admitting Hospitals MUSC Health University Medical Center. You can easily: Verify member eligibility status View member benefit and coverage information Retrieve member plan documents View the status of your claims View member ID card Harlingen, Texas-based direct primary care provider Frontier Direct Care has chosen Flume Health to help launch its new health plan. Customer Contact Centers. Once they had these results, Flume's account management team arranged a call with the Advisor and the Plan Sponsor to explain that they had found a higher value alternative that the patient should be aware of before signing to go in for surgery. miles of. Log into my.flumehealth.com and click "Contact support" to request extras. The UnitedHealthcare Choice Plus network is your link to out-of-state physicians, facilities and other health care providers. directly. . Welcome to ProviderSearch. Copyright © 2022 Becker's Healthcare. Regardless of where a patient ends up getting care, its a health plans responsibility to make sure theyre empowered to make an informed decision. Track your familys healthcare spend, see claims, order ID cards, and more. The plan still covered the surgery, as well as several follow-up appointments. Find a Dental Provider Locate Providers: Mental Health or Substance Abuse Services liveandworkwell.com General UnitedHealthcare Plan Directory The General UnitedHealthcare Plan Directory allows you to search for doctors, clinics and hospitals by selecting from the UnitedHealthcare family of health plans offered. Better patient care with no out-of-pocket cost. Search for a provider Set up your Teladoc account Teladoc is a doctor's appointment you can do via phone or video, and it works just like an in-person visit. Bringing gigabit home broadband to NYC, LA, Hartford and many other cities! Suggest an alternative. Harlingen, Texas-based direct primary care provider Frontier Direct Care has chosen Flume Health to help launch its new health plan. 01 Flume Core Payments, claims, eligibility, contract management, compliance and reportingall in one managed platform that scales with you. Add the Flume Concierge to your phones contacts list. You now have a go-to team of care guides to help you get the most out of your health coverage. Contact us We'd love to talk about how we can work together Email us Send us an email at hello@flumehealth.com Phone support If you're a member of a plan built on Flume OS, use the number provided by your employer Fill out the form below The three of them called the patient and walked him through their process. Exciting announcement: Flume Health Raises $30MSeries ATo Redefine Health Plan Administration Learn more. The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com : Check patient eligibility and benefits. Learn more We built the modern health plan administration platform so you don't have to Your healthcare delivery experience, powered by Flume. Companies can leverage Flume's Health-Plan-as-a-Service operating system to take on the difficulties of delivering personalized health plans, allowing plan providers to focus on member experience. Flume Health has an exciting opportunity for a Reporting Analyst to join our growing operations team. Find a Provider. Many plan members love and trust their current doctors, and the patient did ultimately decide to stay at his current care provider. can launch custom health plans in . Flume Health today announced the release of Flume OS, a programmatic platform that eliminates the complexity of designing and managing healthcare plans. Each of these COE's were scored based on 5 key clinical data metrics in order to create a ranking for each facility: 1- and 3-year survival rates, readmission rates, waitlist length, the facilitys willingness to share data, and the bundled rate for the procedure. Teladoc is a doctors appointment you can do via phone or video, and it works just like an in-person visit. In this role, the analyst will be in an operationsfacing position, fielding all operations, sales and account management requests for reports, analytics, and data needs. She even put the patient's name on their waitlist in order to get him into the O.R. 2022 Flume Health Inc. All Rights Reserved. Members We got your back Access Your Plan Providers Eligibility, precert & payments Go to Provider home Advisors Flume Health offers an end-to-end solution that allows self-insured employers to optimize, and make the most of the health insurance benefits they offer their employees. Flume Health. Within. Learn the best-in-class tactics that every modern plan needs to include. Linking and Reprinting Policy. In The Community. 2022 Flume Health Inc. All Rights Reserved. With Flume With a TPA as quickly as possible. The patient in question had been suffering from lung problems for six years, but the incumbent had never actively managed his care. Your secure provider portal for working with Cigna. Languages. form in order for us to process your claims. 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The programme will be further expanded to include all NextCare's 156 clinics in additional ten states throughout 2022-23. Your healthcare delivery experience, powered by Flume. Go to my.flumehealth.com Find a doctor in the CIGNA network Your network is called CIGNA, and gives you access to physicians, hospitals, specialists, and more. In some cases, issues can be resolved by providing additional information, as requested by the Flume team. ID cards are out, members are enrolled, and claims are being processed. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. The estimated base pay is $67,097 per year. Out of the box point solutions, workflows, and documentation get you started without needing to add headcount. Physicians Check Claim status, look up patient eligibility and access other important information and useful tools. Careers. 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Here are the steps taken whenever a client receives referral for a high intensity item: As part of every Flume Health plan, pre-certification is conducted on major procedures during concurrent review. This is where member economics, inclusions/exclusions, and incentives are defined. He is affiliated with MUSC Health University Medical Center and Trident Medical Center.. This directory provides a list of Ultimate Health Plans' network providers in Indian River, Lake, Marion, Orange, Osceola, Seminole, St. Lucie, and Sumter counties. Launching service in Q4 '20. These include selecting provider network, PBM, disease management vendors, telemedicine providers, etc. Location distance. If you have questions before your account is created, please contact our Customer Care department at (800) 367-3762. Contact Information Website www.flumehealth.com Ownership Status Privately Held (backing) Financing Status Venture Capital-Backed Primary Industry Managed Care Other Industries Information Services (B2C) Other Healthcare Services Primary Office 155 5th Avenue 4th Floor New York, NY 10010 United States +1 (845) 000-0000 Flume Health Timeline Flume Health was founded in 2018, and closed a $30M series A in February 2022, led by Optum Ventures and CIGNA venturesit was the fastest portfolio . What is the unique care model that the health plan is built around? If you have dependents on your account, you must fill out this standard "Coordination of Benefits" (C.O.B.) Find a network healthcare provider. Clients Perform day to day health care and . Flume Health's Post Flume Health 2,219 followers 1d . Javelina by Eldorado, a division of MphasiS | Instance ID: ee252e21-bf37-440e-9ccd-95ba7e2e7096 The new plan will help Frontier patients and employers in South Texas access high-quality, convenient care through Frontier's primary care . If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination. Use the CIGNA Provider Search Tool to check if your doctor is in-network, or find a new one. Who is Flume Health. If you have dependents under 18, you may want them to have their own ID cards. Using the patient's current specialist as the geographic benchmark, six (6) other hospitals were identified within a similar distance that classified as Centers of Excellence (COEs). Flume OS gives you the ability to experiment with plan design and measure the impact to cohorts of plan subscribers. Flume OS replaces traditional TPAs and enables companies to design and launch powerful next generation health plans in months. Firefly Health and Radion are the first to . IU Health Foundation. and we need to collaborate to find the right answer. You can have one PCP for your whole family or you can choose other PCPs for each family member. Flume Health, a health-plan-as-a-service platform, will allow Frontier Direct Care to launch a personalized health plan in as little as six months, according to a Sept. 15 news release from Flume. Flume Health details. With Flume With a TPA These include selecting provider network, PBM, disease management vendors, telemedicine providers, etc Flume OS has native integrations with dozens of trading partners already, and can handle custom integrations.. 2022 Flume Health Inc. All Rights Reserved. Search by specialty. A plan for America's hardest working companies with 100+ employees Say Hello to Flume Health We are transparent self-funded health coverage that costs 30% less than Major Insurance Carriers. | Flume is partnering with existing franchise owners and utilities to deploy fiber broadband to homes in NYC and other cities. 3 reviews of Flume Health "-In the Northern VA area, every doctor I went to had not heard of them and would not commit to connecting and creating an agreement with them. In order to complete registration . AIMM focuses on identifying providers with the best outcomes and preventing overtreatment. Privacy Policy. Left on his own, statistics show the patient would have gone straight to the referred hospital to join the waitlist, without realizing he had other options. For General Information. Instead, Flume Health was able to step in at the pivotal moments of his care journey with a mix of high-tech, high-touch processes to steer the outcome toward a win-win for the patient and the plan. Listen. They may also send you to other providers if you need specialty care. Find a Network Pharmacy with OptumRx . Search by name or key term. Box 5700. Work with our stop loss partners to seek actuarial validation on the perceived impact to costs and outcomes.
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