Affiliate Partnerships
Claim Doc
PRAM
Preferred Network Access
Leeds & York
Meaningful partnerships designed to deliver value.
Claim Doc provides claim review and auditing services for self-funded health plans. Claim Doc’s proven audit program relies on objective industry data and is led by licensed healthcare professionals who negotiate fair, ethical, and effective payments. The program is designed to account for a provider’s actual costs while allowing for a reasonable margin, helping achieve balanced and mutually beneficial outcomes.
As a co-fiduciary, Claim Doc advocates for patients and their employers while delivering comprehensive claim auditing and support services, including:
Claim Auditing
ERISA Appeal Management
Member Advocacy
Legal Defense Litigation Support
Balance Bill Defense
On average, Claim Doc has helped clients achieve approximately 31% savings on outpatient billings.
PRAM functions as a pharmacy benefits consulting firm and managing general underwriter, structuring carve-out, custom, and fully insured prescription drug benefit plans for the large group health benefits marketplace. By delivering customized, comprehensive, benefit-rich, and affordable prescription drug solutions, Capstone/PRAM programs provide employer groups with a level of flexibility not previously available—while helping them better anticipate and budget for financial risk within the pharmacy benefit space.
Preferred Network Access(PNA) provides cutting edge solutions perfected for over 30 years for Chemical Dependency and Medical Cost Containment. PNA ultilizes a proprietary audit and negotiation service techniques resulting in an average 75% reduction to Chemical Dependency Claims.
Leeds & York is a full-service insurance company offering customized packages in a variety of industry sectors, including: Medical Malpractice, Property, General Liability, Captive Programs, Surety, Bonds, Professional Liability, Automobile, Life, Health, Homeowners, Umbrellas, Equipment, Builders Risk, and OCIP / WRAP.