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Client Solutions

Out-of-Network Services

Coventry’s Out-of-Network program is a value-added service in addition to standard bill review services performed by Coventry.  Bills are referred to FairPAY Solutions (“FairPAY”) or VIANT Health Payment Solutions (“VIANT”) after all Bill Review and Network  reviews are performed and are based on edits specific to the bill type and the State jurisdiction.  The edits are driven on the state regulations that allow a review to a database for repricing or for professional Negotiation.  These reviews are for both Fee Schedule and Non-Fee Schedule states. 

OUR NETWORK INCLUDES

The Coventry Integrated Network®
Our broad-based PPO offering >>
Metracomp
NY state certified network focused on positive outcomes and savings >>
Managed Care Organizations
Two types of MCO programs help clients comply with state-specific regulations >>
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