Specialists – Provider Network Solutions

We Connect Specialty Physicians to Multiple Payors while Providing Members the Highest Standard of Medical Care

By the Numbers

Members Under Management

0 M+

Number of Specialists

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Unique Specialist Locations

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Years of Success

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Trusted partner delivering its clients the benefit of over 20 years of industry experience with a proven track record of success!

PNS maintains partnerships with various Health Plans, providing a one-stop-shop for your contracting and provider relations needs.

As a Board Certified or Board Qualified Specialist, delivering quality health care services to around 3.6 million lives is within reach when you join our Specialty networks.

Our Solutions

Quick Provider Portal access to effortlessly check eligibility and claim status.
In-house electronic claims adjudication and adherence to CMS’s prompt payment guidelines ensure seamless reimbursement for your services.
We offer network providers the opportunity to focus on patient care and increase their practice’s patient volume through established contracts with leading regional health plans.
The network development and provider servicing teams visit Health Plans, MSOs, and PCPs frequently to earn their business and promote your practice.
The Company’s “boots on the ground” approach develops close, long-lasting relationships with you and your office staff.

Specialist Partner Advantage

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.

Line of Business

Medicare

We service and support Medicare Advantage, Traditional Medicare and eligible Medicare members who belong to an ACO. 

Medicaid

We service and support the Medicaid Managed Care population across the State of Florida, including SMMC Specialty Plans.

Healthy Kids

We service and support the Florida Healthy Kids population across the State of Florida.

Commercial

We service and support many of our health plan partners whom have Commercial products, such as, individual, employer and self-funded.

Exchange / ACA / Marketplace

We service and support many of our health plan partners whom have Exchange / ACA / Marketplace products.