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Provider Freedom

Provider Freedom. True Freedom of Choice No Networks – No Penalties. Overview. Problems with PPOs Provider Freedom is the solution How Provider Freedom benefits you How Provider Freedom works. 2.

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Provider Freedom

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  1. Provider Freedom True Freedom of Choice No Networks – No Penalties

  2. Overview • Problems with PPOs • Provider Freedom is the solution • How Provider Freedom benefits you • How Provider Freedom works 2

  3. Who is Allied*Home Office - Overland Park, Ks.* 2nd generation business* Founded 1970* Proprietary systems* Company cultureInnovation Stability Service 3

  4. What is a PPO Plan? 4

  5. Problems With PPO Plans 5

  6. Provider Freedom is the Solution! 6

  7. A Proven Model 7

  8. How Provider Freedom Benefits You and Your Client 8

  9. Provider Freedom Reduces Monthly Costs Benefit plan cost reductions up to 10% as compared to traditional PPOs 60% of Funding Advantage cases issued with Provider Freedom

  10. How Does Provider Freedom Work? 10

  11. Cost Plus Reimbursements Fair and Reasonable Reimbursement Calculations Facility Charges – Peer group hospital data plus profit and overhead Physicians – Database of actual physician payments

  12. Learning to use Provider Freedom 12

  13. No Balance Bill Guaranty “…covered person not responsible for any attempt by the medical provider to collect unpaid medical charges because of the discount taken…” Excludes Deductibles, copays, coinsurance Medical care not covered by plan Improperly filed claim Late claim filing Call Allied National Customer Service for balance bill issues: 800-825-7531

  14. Provider Freedom Provider Claim Payment Acceptance 92.0% - Accepted as paid 4.0% - Call and accept 3.5% - Adjust and accept 0.4% - Adjust to retail 0.1% - Balance bill

  15. Provider Freedom Your initial provider appointment using Provider Freedom Present your ID card Majority of providers currently accept the card Allied pays claims to over 250,000 providers If your provider is uncertain about the Provider Freedom plan, call Allied Customer Service: 800-825-7531

  16. Provider FreedomAvailable plan option with Allied Funding AdvantageStandard for Short Term Medical Plus and Allied Cost Saver 16

  17. Provider Freedom Available with Funding Advantage in these states: California, Georgia, Iowa, Illinois, Indiana, Kansas, Missouri, Nebraska, Nevada, Ohio, Oklahoma, South Carolina, Tennessee, Texas

  18. Allied National, Inc.Toll Free: 888-767-7133Fax:  913-945-4396 sales@alliednational.com www.alliednational.com http://twitter.com/alliednational 4551 W. 107th St., Suite 100 Overland Park, KS  66207-4037 Questions? Need More Information? We’ll be happy to answer your questions now. 11147s1213

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