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:
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Reduction in Accounts Receivable
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Reduction in the volume of patient services that are delayed or avoided
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Reduction in bad debt
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Timely direct deposit payments
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Increase inpatient utilization
Filing Claims
Using Pre-Med Defender involves two forms of coverage and two different payer IDs.
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.
Have questions?
Contact us today to learn more about what Pre-Med Defender can do for your clients!