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Mediversal is an Administrative Services Only (ASO) company that specializes in employee health benefit plan designs and provider networks that are creative and cost-effective. Mediversal helps self-funded and worker's compensation plans optimize health plan dollars for employee satisfaction.
Administrative Services
- Accurate and timely medical, dental and vision claims payment
- Customized plan design and consulting
- RIMS-based claims system
- HIPAA Administration
- COBRA Administration
- Claim fund maintenance and accounting
- ERISA Compliance
The Specialty Markets, Medical Outreach Unit provides clients with access to a staff of care management professionals that are trained to support medical management, cost containment initiatives.
Medical Management
- Pre-certification using internal pre-certification guide and the plan requirements;
- Concurrent care review;
- Discharge planning;
- Case management;
- Nurses assigned to specific accounts to build group knowledge and rapport.
- 18 medical directors.
- URAC accredited utilization management team.
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