Providers

We’re Here to Ensure a Seamless Experience for You and Your Patients

What is Pre-Med Defender?

For services eligible under the patient’s primary health insurance, Pre-Med Defender pays the patient’s out-of-pocket expenses such as copays, deductibles, and coinsurance. Claims are paid directly to the healthcare provider. Pre-Med Defender provides many benefits to healthcare providers such as, but not limited to:

  • Reduction in Accounts Receivable

  • Reduction in the volume of patient services that are delayed or avoided

  • Reduction in bad debt

  • Timely direct deposit payments

  • Increase inpatient utilization

Learn More About How It Works
providers1@2x
logo-icon

Filing Claims

Using Pre-Med Defender involves two forms of coverage and two different payer IDs.

1
2
3
4

STEP 1: Insured provides both Primary and Secondary ID Cards and Provider verifies coverage with both plans.

STEP 2: Provider sends claim to primary carrier. Primary carrier will process the claim and provider will receive an EOB (Explanation of Benefits).

STEP 3: Provider submits copy of Primary’s EOB as well as the standard CMS 1500 or a Hospital Claim Form (UB04) to Pre-Med Defender for processing.

STEP 4: Pre-Med Defender processes claim and sends payment directly to Provider along with final EOB to member.

Learn More About The Claims Process

Have questions?

Contact us today to learn more about what Pre-Med Defender can do for your clients!