Groups & DSO’s
Managing insurance across multiple sites can be challenging, especially if growing rapidly. Five Lakes has the scope and scale to develop an insurance strategy and manage insurance participation across your footprint. We can grow with you.
For many group clients, 5Lakes fully manages:
1. Evaluate insurance participation to achieve practice goals.
2. Maximize reimbursements, working to get all offices contracted with the same fee schedule where possible).
3. Integrate new offices (TIN changes, provider credentialing, evaluate insurance participation).
4. Manage credentialing for new hires.
5. Consult on acquisitions, identify and quantify unrealized PPO revenue.
6. Much more!
Step 1 – Choose An Analysis
The 5Lakes proprietary Insurance Analysis results in a customized insurance participation strategy for your office.
|Premium Analysis||Insurance Analysis|
|Maximize insurance reimbursements with PPO negotiations and optimizations||X||X|
|Collection, analysis and ranking of PPO fee schedules across more than 20 insurance plans||X||X|
|Review and audit of current UCR fees compared to insurance reimbursements||X||X|
|Review of competing providers and the PPO’s they participate with||X|
|Employer benefit plan research. Which employers have Aetna?? Is Aetna a big player in my market?||X|
Step 2 – Implement The Strategy & See Results
Custom Quote Available
Leveraging the results of the Five Lakes Premium Analysis OR the Five Lakes Insurance Analysis, let our team implement the approved insurance plan for you. Must be purchased at the same time or after the completion of one of the Five Lakes Insurance Analyses.
✓ PPO negotiations
✓ PPO optimizations
✓ Insurance workbook and training for your staff
✓ Implementation training
If needed we also provide credentialing services (custom quote available)
✓ Processing of credentialing applications from start to approval
✓ Access to 5Lakes Insurance Center for industry news, updates, and management of your account