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Network Management

 

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Network Advantage

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Network Advantage

Professional support and tools to help EAPs and behavioral health organizations manage provider network operations and expand network reach

As margin pressures continue to intensify, behavioral health organizations and EAPs are seeking flexible solutions to maintain high-quality care, yet eliminate redundant and time-consuming network operations activities.

 

Network Advantage integrates the latest web technology with provider relations and credentialing strategies that enable you to measurably improve efficiencies in credentialing provider networks. We also deliver practice management services and offer a single point of contact to providers, allowing them to operate more efficiently—both in terms of time and cost.

 

Network Advantage supports the entire range of network-related activities including provider recruitment, credentialing, contracting, data management, and referral/reimbursement processes. The multi-disciplinary network system tracks various licenses and certifications, as well as over 95 treatment specialties to facilitate specific searches. Search criteria include language requirements, as well as qualifications for responding to specific needs: Critical Incident Debriefing, substance abuse, DOTmandated substance abuse assessments, training, and coaching.

 

 

Meeting Your Goals
Network Management Services are designed so that the quality of your clinical Employee Assistance and Behavioral Health network is aligned with your strategic business objectives. With measurable results such as increased profitability, new sales, improved risk management, and improved compliance, our professional staff work with you to lower your total cost of network operations.

 

Our philosophy is to offer customizable, flexible products and services at affordable prices. We allow you to compose a suite of services that works to manage your provider network operations most effectively for your specific organization: from ad-hoc projects to full outsourcing.

 

 

Provider Credentialing Process
Before becoming part of our network, provider credentials are verified through a process that mirrors the standards for credentialing set forth by the National Committee for Quality Assurance (NCQA) for primary source verification. Network Advantage allows you to customize the qualifications of your panel of Employee Assistance and Behavioral Health providers according to your requirements. Below is a sample of the credentialing requirements for the Network Advantage provider network:

 

  • Master's degree in a mental health discipline

  • 3 years post-Master's experience in the direct provision of clinical care

  • Current and unrestricted license as a mental health practitioner at the independent practice level

  • Maintenance of professional liability insurance ($1 million per occurrence and $3 million aggregate)

  • Attestation/disclosure to the existence of prior sanctions or limitations to license, malpractice claims history, the existence of felony convictions and the ability to perform the essential functions of an EAP counselor

 

What Network Analysis Reports Provide

  • A detailed report that matches a group of providers to the home ZIP codes of employees

  • It shows the accessibility/proximity to licensed and credentialed providers to the EA member who needs faceto-face counseling services.

  • Combines the EAP client network with our extensive network of credentialed providers

  • Compares the number of providers located within various distances from the employees home ZIP code. (i.e. 2 providers within 20 miles)

  • Identifies the urban, suburban and rural ZIP codes

  • Highlights ZIP codes with no or limited match for easy identification and development of providers

 

This product overview is intended for descriptive purposes only.
Please speak with your account manager or sales person for details.

 

What the Service Provides

 

  • Access to an extensive network of credentialed employee assistance affiliates and behavioral health clinicians.

    • Multi-disciplinary clinical providers in all 50 states, Puerto Rico, and the US Virgin Islands

    • Web-based provider directory

    • Comprehensive provider search functions

  • Provider-relations management on any scale

    • Provider recruitment and recredentialing

    • Provider access to the Global Provider Training Institute

  • Access to special or emergency provider requests

  • Case monitoring and processing provider reimbursement

  • Network Access and credentialing system integrated into one web-based database

  • RFP/Sales tool with Network analysis reports (i.e., Geo Access report)

Advantage Network

Network analysis reports have the capacity to extensively detail provider accessibility data based on user input such as desired proximity to employee ZIP code and the number of providers to match.