Procura Management Inc.

The success of our network program hinges on savings, quality and accessibility. Savings are achieved through assertive contract negotiations and optimal penetration rates. The savings results are tied directly to the quality of the network providers who undergo rigorous credentialing and exhibit a return to work philosophy. Finally the network opportunities must be accessible to both the claimants' receiving care, as well as to our individual clients. Not only is PPO an embedded feature of our Bill Review Program , but also it is available as an unbundled service, fully automated through Pend and Transmit capabilities.

Through access of our customized network options, your organization will realize:

Savings Performance
Through a combination of national network affiliations as well as regional and proprietary networks, Procura is able to deliver unsurpassed savings to our Worker's Compensation and Automobile client base.

Each service area can experience significant savings on in-patient, out-patient, and provider bills. Further, reductions on Pharmacy, Independent Medical Examinations, Physical Therapy, and Diagnostic Testing offer tremendous savings.
Network Quality
We pride ourselves on the attention to detail required to carefully and thoroughly credential the network providers. Provider profiling is accomplished through documenting and measuring provider performance to quality standards in such areas as cost by ICD 9, or duration of disability by ICD 9. We remain committed to building network opportunities with our clients. We will recruit and credential providers based on bill review utilization data, client and claimant needs by specialty and location and by referrals from case managers, clients, and claimants.
Network Accessibility/ Portability
Participating providers are geographically available to your claimants, assuring immediate access to qualified providers. This maximizes penetration rates, thus reducing costs on both the medical as well as indemnity expenditure. We simplify the process as an internet based tool, posted panels or through electronic directories to streamline the process. The network is an embedded feature in our bill review program, but can also be utilized as a stand alone cost containment tool for our client's existing bill review program. This can be accomplished through a secure and private web-site and by way of pend and transmit operations. We are flexible in order to afford our clients optimum savings in a variety of methods and to match their specific operational needs.
Out of Network Negotiations
In order to realize global savings across all bills, Procura has developed a non-network negotiation program to work in conjunction with our Network savings. Non-network bills are channeled to the negotiation team for efficient and effective processing, providing a total management solution.