Phoenix Services Managed Care Consulting, Ltd.

By their very nature, managed care contracts carry a great deal of business risk, including the insurance risk that contracted rates may not cover costs; the financial risk of being paid late, or even underpaid; and the legal risk of being contractually barred from pursuing the patient, the employer, or even the payer, under certain circumstances.

Multiple forces are driving the need for more timley, accurate and thorough eligibility verification.