At PhysMetrics, we offer benefit administration for physical medicine and complementary health services, always with the goal of providing solutions and exceeding your expectations. The PhysMetrics team oversees every aspect of benefit administration, from customer service to utilization management to claims processing and payment. So when your employees need physical therapy, occupational therapy, speech therapy, chiropractic care or acupuncture care, count on us to be alongside at every step.
- Utilization management by experienced & knowledgeable reviewers, all of whom are active, practicing providers in their field, from precertification of certain services to in-depth review of treatment plans.
- Member/provider services handled by our friendly, responsive staff in our California headquarters, able to assist with any question from benefits to claims status, finding a provider to precertifications.
- Client services provided by our PhysMetrics staff, available to meet with clients on short notice as well as regularly-scheduled meetings to review plan performance. Clients also have access to real time reports & utilization data directly from our system.
- Network development & maintenance specific for each client in order to minimize disruption and maximize patients’ ability to continue in treatment with their provider. We do not charge providers to participate, and we have the capacity and experience to build a new panel or add providers quickly while ensuring they meet our rigorous standards.
- Claims processing & payment via our advanced system offers a complete solution for billing and claims processing, and provides utilization and payment reports at a moment’s notice.
- Data collection & reporting from costs and claims to customer service, provided in detailed reports of each plan’s performance along with a catalog of the services PhysMetrics has provided.
- Web-based services complement our standard services, and are customized with the client’s logo and links to the organization’s other benefits providers, intranet and events. Patients can then login to learn about their benefit and look up providers, while providers can see the status of claims paid and precertifications, submit claims for payment & more.
- Implementation services to aid in the seamless transition of benefit administrators, including a wide variety of helpful communication materials.
- Benefit integration is easily achieved with PhysMetrics, as we welcome the opportunity to work with other vendors and work collaboratively to integrate data (as designated by the client) or address any cost containment efforts.