Mediversal, Inc.
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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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