Did you know, the cost of providing unmanaged specialty care increases by an average from as low as 8.6% to 17.8% annually?
Most Common Contributors
At PNS, our services are designed to mitigate these concerns or eradicate them while providing your members the best clinical care, quality, and efficiency.
Our mission is to work alongside your administrative and clinical teams to deliver measurable cost savings while ensuring quality member care through Best Practice management while ensuring data compliance and security.
Join the primary care offices already benefiting from our robust Specialty Care Management.
Our team is here for you every step of the way. With years of experience and training, we are fully prepared to provide exceptional quality service.
We service and support Medicare Advantage, Traditional Medicare and eligible Medicare members who belong to an ACO.
We service and support the Medicaid Managed Care population across the State of Florida, including SMMC Specialty Plans.
We service and support the Florida Healthy Kids population across the State of Florida.
We service and support many of our health plan partners whom have Commercial products, such as, individual, employer and self-funded.
We service and support many of our health plan partners whom have Exchange / ACA / Marketplace products.
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Provider Network Solutions, its subsidiaries, and its affiliates’ certification decisions are based only on the appropriateness of care and service and the existence of coverage. Provider Network Solutions, its subsidiaries, and its affiliates do not reward physician reviewers, case managers, employees, practitioners, or other individuals for issuing denials of coverage or service. Provider Network Solutions, its subsidiaries, and its affiliates do not pay incentives to physician reviewers, case managers, employees, practitioners, or other individuals to reduce the provision of care which is deemed medically necessary. Provider Network Solutions, its subsidiaries, and its affiliates do not give financial incentives to physician reviewers, case managers, employees, practitioners, or other individuals to encourage decisions that result in under-utilization of care or services.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. You may access the Nondiscrimination and Accessibility notice by clicking here.
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