PreferredOne

5/18/16
MMGMA Day With the Payers
Presented by: Kevin Davis, Provider Contractor
Kristopher Klinger, Supervisor, Provider Relations
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©2014 PreferredOne Administrative Services, Inc.
AGENDA
•  Overview of PreferredOne Today
•  Tools To Make Your Job Easier
•  Q & A
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©2014 PreferredOne Administrative Services, Inc.
At Your Service
PreferredOne Administrative Services, located in Golden Valley, Minnesota, employs
approximately 300 individuals and is an independent, wholly owned subsidiary of Fairview
Health Services.
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©2013
PreferredOne
©2014 PreferredOne
Administrative Services, Inc.
Administrative Services,
Inc.
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History
Introduced 1984
Provides network
access and claims repricing services to
regional/national
insurance carriers and
third party
administrators (TPAs)
Introduced 1997
Provides medical and
dental claims
administration for selffunded groups
(including HRA, HSA
qualified plans, FSA
and COBRA)
Introduced 1995
Provides insured
HMO products
for large and
small employer
groups
Introduced 2004
Provides employer
stop loss reinsurance
and group/individual
health insurance
products
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©2014 PreferredOne Administrative Services, Inc.
Membership
39,671
35,000
177,349
2,869
Total Members
254,889
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©2014 PreferredOne Administrative Services, Inc.
Our Contracting Team
Provider Contracting Directors:
Mark Erickson 763-847-3376 [email protected]
Dave Voigt 763-847-3374 [email protected]
Contract Managers:
Shawna Conboy 763-847-3029 [email protected]
Kevin Davis 763-847-3120 [email protected]
Kristopher Klinger 763-847-3252 [email protected]
Denice Lizakowski 763-847-3385 [email protected]
Liz Loch 763-847-3364 [email protected]
Jason Roys 763-847-3248 [email protected]
Tammy Smithson 763-847-3387 [email protected]
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©2014 PreferredOne Administrative Services, Inc.
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5/18/16
Our Provider Relations Team
Haley Cunningham 763-847-3655 [email protected]
Angie Jelinski 763-847-3272 [email protected]
Kristopher Klinger 763-847-3252 [email protected]
Jason Roys 763-847-3248 [email protected]
Jody Sweet 763-847-3653 [email protected]
Aaron Thomson 763-847-3642 [email protected]
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©2014 PreferredOne Administrative Services, Inc.
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©2014 PreferredOne Administrative Services, Inc.
PCHP/PAS ID Cards
Tribal Member ID Card – Medicare Edits
Contract Health Services Medical
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©2014 PreferredOne Administrative Services, Inc.
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PPO ID Cards
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©2014 PreferredOne Administrative Services, Inc.
Provider Website: www.PreferredOne.com
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©2014 PreferredOne Administrative Services, Inc.
Provider Website Registration
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©2014 PreferredOne Administrative Services, Inc.
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5/18/16
Provider Website Update
Provider Instructions
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©2014 PreferredOne Administrative Services, Inc.
Provider Instructions Webpage
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©2014 PreferredOne Administrative Services, Inc.
Email Notification Update
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©2014 PreferredOne Administrative Services, Inc.
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5/18/16
Remittance Code Update
770 Reinsurance–Alternate Payee
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©2014 PreferredOne Administrative Services, Inc.
On the Go – Mobile Website
Get valuable PreferredOne benefit information on your
mobile device. Simply use your smart phone,
visit PreferredOne.com/mobile or scan the QR code.
No need to download an application.
Find a Provider
Locate the nearest in-network urgent care, clinic,
doctor, or hospital.
View Member ID Card
Forgot your member card?
Go online and access your member ID # for you and
any covered dependents.
Deductible and Out-of-Pocket Balances
Want to know if you have met your deductible or the balance
Remaining? Same goes for reaching your out-of-pocket maximums.
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©2014 PreferredOne Administrative Services, Inc.
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