Claim Reimbursement for payers
A single source solution that advance funds out-of-network claim settlements to Providers, Advance ensures Payers receive the best possible discounts.
- Simplifies & reduces administration
- Maximizes discounting capabilities
- Provides prompt, predictable payment
- Eliminates settlement disputes
- Requires no change in funding cycles
PMCS has built one of the industry’s largest Payer networks and has a strong base of pre-negotiated contracts. Through this exclusive network we’re able to offer exceptional discounts settled in record time. From post-adjudication to Provider payment, PMCS Advance’s use of electronic data interchange (EDI) delivers seamless administration, advance funding, and professional Provider negotiation.
PMCS Select is a fully automated out-of-network claim settlement solution that allows select Payers to remit payment and an Explanation of Benefits (EOB) directly to PMCS Providers.
- Supplements current strategy
- Automates payment & EOB
- Leverages existing agreements
- Eliminates Provider recourse