Providing the best networks and services keeps our clients coming back for more.

We help you maximize the value and effectiveness of your managed care health plan.

Preferred Health Professionals is a true partner.

We have health care services that deliver results for people and partners.

We are a long-term partner, committed to your success.

We have the products, services, and experience to be a true managed care partner.


 

Claims Repricing

Php _networks

Preferred Health Professionals provides medical and dental claims repricing services to insurance carriers, third-party administrators and self-administered employer groups. Participating PPO claims are typically filed directly to Preferred Health Professionals for claims repricing. Upon receipt, Preferred Health Professionals reprices provider claims according to pre-negotiated PPO discounts. Once a claim is repriced, Preferred Health Professionals forwards the original claim and the repricing cover sheet to the insurance carrier, third-party administrator or self-administered employer group for benefit determination and claim payment.

Our repricing staff excels in surpassing specific turn-around goals and accuracy standards, making our process one of the most efficient and accurate in the industry.

Preferred Health Professionals is not an insurance carrier or third party administrator, so we do not pay claims. Upon receipt of a claim, we apply the network discount and forward it to the payor for further processing.

Preferred Health Professionals does not determine member eligibility or benefits. Eligibility and benefits are validated by the payor. Claims should be filed according to the instructions listed on the member's medical ID card.

If you have any questions, please call Customer Service at 913-945-4770 or 1-800-544-3014.

Contact Us

Preferred Health Professionals
10740 Nall, Ste 100
Overland Park, KS 66211
(913) 945-4770