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Administrative Services Only - for self-insured groups
With fast and accurate claims processing, award-winning medical management and local customer service, Providence ASO is your hands-on partner for administering medical and pharmacy benefits.
We manage your money as if it were our money. You enjoy the same quality of service as our fully insured groups.
We safeguard your financial interests
As a Providence ASO client, you benefit from state-of-the-art claims administration, developed for Providence Health Plan. Advantages include:
- Best-in-market hospital and provider contracting rates
- Nationally recognized medical and disease management program
- Preferred stop-loss rates
- Fraud and abuse detection and investigation
- TPL and COB savings
- Timely payment of claims
- Excellent local customer service
And with Providence ASO, you're backed by the financial stability of the only A ("Excellent") A.M. Best-rated health plan administrator in Oregon.
Core package includes
- Medical claims administration
- Pharmacy claims administration and pharmacy management
- Competitive local and national provider network
- Basic medical management, including prior authorization, claims auditing and medical review
- Discounts on vision and hearing aids
Optional services available
- Fiduciary services
- COBRA, HIPAA and FSA administration
- Varying levels of pharmacy rebate sharing, up to 100 percent
- Individual case management
- Expanded behavioral health benefits administration and utilization management
- Vision administration
- Alternative care administration, including network and any willing provider options
- 24/7 ProvidenceRN medical advice line
- LifeBalance program discounts on health and wellness activities and services
- Health BalanceSM work-site wellness program
Ask for a quote
Learn more about how Providence Health Plan can help your company succeed. Contact your broker or an account executive at 503-574-6300 or 877-245-4077.
