Providers Need Quick, Easy, Efficient Way to Do Basic Insurance Functions:

•        Member Eligibility and Benefits

•        Prior Authorizations

•        Claims Inquiry

•        Remittance Review

•        Access Medical Policies

•        Forms

Payers depend on their Provider Portal to service All the basic Insurance Functions to avoid the following:

•  Reduce calls into Customer Service

• Avoid Provider Abrasion - Obtain accurate, quick response to claims, eligibility, etc to service members

• Provide current, vital and appropriate level of information to support Providers

Payer Provider Portal Adoption in the Industry is approximately 85%+ usage.

We provide comprehensive, hands-on knowledge and experience to assist Payer’s with review, enhancement and overall improvement of Provider Portal functions to achieve Operational/Financial Goals

We provide comprehensive, hands-on knowledge and experience to assist Payer's with review, enhancement, and overall improvement of Provider Portal functions to achieve Operational/Financial goals. We ensure the Portal is intuitive, user-friendly, and easy access for Providers to support basic insurance functions

Efficient and well-structured payer operations are the backbone of a successful healthcare organization. At Yzarc Consulting, we bring our extensive expertise in payer operations to optimize your processes, enhance productivity, and drive operational excellence. 

• Provide healthcare expertise to support Provider Team daily Operations needs

• Review credentialing SOPs and provide guidance/feedback on improvements

• Review standards for taxonomy, associated specialty and impact to credentialing requirements

• Provide expertise and guidance on minimum data requirements to comply with CMS requirements when supporting Medicare Advantage