A person in a white coat with a tape measure around their neck sitting at a white desk with a laptop, a black calculator, a clipboard, and a notebook with a weekly meal plan. There are also three apples and two oranges on the desk.

Commitment to Provider Management

While our Healthcare Providers are busy providing high-quality, low-cost care to their patients, our job at UNLMTD+care is to ensure our Providers are taken care of! With over 11 years of healthcare management experience, we will ensure your Providers are credentialed appropriately, contracted at the best reimbursement rates, and that claims are being paid accordingly. It’s important that patients receive the care they need - but it is also important that Providers are being reimbursed for the services they provide.

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Professional Services

Ensures you are fully credentialed with the health plans required to provide full, reimbursable care to your patients.

Services include, but are not limited to:

  • License Expiration Management

  • CAQH Initiation/Management

  • Credentialing and Recredentialing with Health Plans

  • Roster Management

Credentialing Administration

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Manages contracts with health plans to secure reimbursement.

Services include, but are not limited to:

  • Contract Strategy

  • Contract Negotiations/Renegotiations

  • Contract Inventory

Contract Management

Two healthcare professionals, one male and one female, are looking at a tablet. The male, wearing glasses and blue scrubs, is standing close and engaged, while the female, wearing a white lab coat and stethoscope, is holding the tablet and looks focused.

Reviews and resolves claim disputes, while finding solutions to prevent further claims issues.

Services include, but are not limited to:

  • Claims Projects

  • Disputation of Claims Payments with Payers

  • Comparison of Paid Claims to Contracted Rates

Claims Oversight