Laserfiche WebLink
We recognize PRINCIPAL's stated desire to explore various vendor options to service its program; <br /> however,York's claims fees rely on fully integrated managed care services. <br /> York befieves that for PRINCIPAL to realize an overall reduction in cost of risk, reduced leakage, <br /> and enhanced coordination and communication that a fully integrated service model is better <br /> suited for delivering on our promises. <br /> ManaQed C�re Fnes: <br /> DETAII FEE <br /> ... . _ <br /> � 1��4 <br /> � � �� �" <br /> Fee Per Bill $8•50 � <br /> PPO Saving 26�� <br /> Telephonic Case Management $98.00 per Hour <br /> Field Case Management $9g•00 per Hour, <br /> plus IRS Mileage Rate <br /> � �y, <br /> Clinical Nurse Review $145.00 per case <br /> Physician Review $250.00 per case <br /> Peer Review $345.00 per case <br /> . . � . � . . <br /> MMSEA Reporting Waived with use of York MMSEA <br /> services <br /> Standard MSA includes Submission $2,575 flat rate <br /> Medical Cost Projection $1,545 flat rate <br /> Conditional Payment Requests $155 flat rate <br /> Rush Reports (Less than 10 days) No additional charge <br /> . � . � . � <br /> Application Fee $1,550 <br /> Access Fees $60.00 per claim access fee <br /> ATTY/AGR/2015.068/YORK TPA REDWOOD CITY <br /> REV:04-20-15 MLG <br /> Page 8 of 17 <br />