Omega Pediatrics is a leading pediatric primary care practice in Roswell-Alpharetta Georgia. We provide the most accessible care with hours of service up to 9 pm on weekdays as well as telemedicine access for the convenience of busy families. Omega Pediatrics is one of the pediatricians that accepts Multiplan in Roswell Georgia. These are some of the benefits of Multiplan Insurance.
MultiPlan Inc. is the industry’s most comprehensive provider of cost management health insurance solutions. The company was established in 1980 and has since inculcated strategies to interpret, innovate, and inspire positive development and growth in the industry. MultiPlan provides a single gateway to a host of primary, complementary and out-of-network strategies for managing the financial risks associated with healthcare claims in the changing dynamic industry. The company deals with large and mid-sized insurers, third party administrators, self-funded plans, HMOs and other entities that pay claims on behalf of health plans providers. Some of the services provided by MultiPlan are as explained below.
Commercial Health Programs
MultiPlan has built capacity to provide costs management solutions for organizations responsible for paying healthcare claims generated from commercial group and individual health plans. The company provides tools that help commercial organizations to create the cost management program that is most suitable for their businesses. So, it doesn’t matter whether your health plan participants visit a network or out-of-network provider, MultiPlan has the right tools to help them to control costs.
Government Health Programs
MultiPlan also provides a network-based support for several government programs. The company works with government and other clients to manage Medicaid, Medicare Advantage, TRICARE and the Veterans’ Administration. They also work with Medicare Advantage plans, Medicaid, and other agencies on targeted payment integrity programs, mainly in a post-payment environment.
Omega Pediatrics remains the only clinic in Georgia that is open routinely for primary care up to 9 pm on all weekdays. We also are providing telemedicine facilities to blend into the DNA and culture of Atlanta.
Improve Billing System and Payment Integrity Services
MultiPlan helps companies to improve their bill review capabilities through their national networks. Companies also utilize MultiPlan’s payment integrity services to identify waste and abuse, including negotiation services to reduce claims not covered by a network contract or governed by a state fee schedule.
MultiPlan provides payment integrity services targeting most complex issues that can not be addressed by the computer alone. Since most payment integrity services rely mainly on automation, published edits and policies, MultiPlan, through advanced technology and clinical expertise helps to address significant errors in the areas of waste and abuse.
Types of Service
As part of its network-based services, MultiPlan offers primary PPO, complementary network, and specialty network access both at the national level and in some selected regions of the country.
The MultiPlan’s PPO networks offer you unique opportunity to significantly reduce your exposure to non-network claims and consequently increase your healthcare savings. Since you can’t be fully protected from costly non-network rates no matter how grounded the PPO networks are, MultiPlan offers you two protective options to save you from the uncontrolled costs of non-contracted health care services. These options are negotiation services and medical reimbursement analysis.
The MultiPlan’s team of more than 300 negotiators work together to help clients reach out to non-contracted providers to negotiate reductions on specific claims. So, the provider signs off on any savings applied to the claim and ensure that clients are not billed the difference between the original and the negotiated charges.
Medical Reimbursement Analysis
Under this option, MultiPlan adopts the use of cost data and claims history to recommended reductions that is close to similar reimbursements by similar providers. MultiPlan helps to handle provider inquiries as well as patients who may be billed by the provider for the balance. The program allows clients to include one or both of these services in their cost management solution. However, clients who use both options can choose which service should be accessed first.
Generally, MultiPlan services are tailored toward helping healthcare payers to manage the cost of care, improve competitiveness, and inspire positive changes. The company uses sophisticated technology, data analytics, and experienced team to interpret client’s needs, and subsequently create innovative solutions to meet those needs. Through these superior and reliable services, MultiPlan is working to help bring affordable health insurance solutions to the doorsteps of many Georgia residents. For additional information on how MultiPlan works to inspire, interpret, and create innovative solutions, you can visit the company’s website.
WE ACCEPT ALL INSURANCES
Omega Pediatrics Difference: At Omega Pediatrics in Roswell we understand the challenges that parents face when their children develop symptoms late in the day or after hours. Many pediatric offices rarely see patients after 4 pm however we are open every weekday up to 9 pm for both appointments and walk-ins. We also have telemedicine via evisits for our known patients. Our clinic is one of the easily accessible pediatric primary care clinics in Roswell and Alpharetta. We provide pediatric primary care to families in the North Fulton area and beyond, serving families that live in Milton, Sandy Springs, Johns Creek, Duluth, Cumming, Woodstock-Canton and beyond.
Immunizations and checkups after-hours: One advantage of switching to Omega Pediatrics for your child’s primary care is that you can bring your child in for immunization or annual checkup after regular business hours. We provide this service because we have a passion for what we do and we want to be a comfortable and convenient service, not the ordinary pediatric doctor’s office.