Comprehensive Benefit Solutions for High-Cost Care
At Symphony, we understand the complexities and challenges associated with high-cost, low-frequency medical procedures. Our Combined Services approach provides robust, cost-effective solutions through specialized benefit plan language, meticulous medical management, and data-driven program evaluations. By implementing clear and precise benefit plan language, we ensure compliance and consistency, facilitating efficient administration and reducing misunderstandings.
Our dedicated medical management team, led by experienced professionals, oversees each case to guarantee the highest standards of patient care. Utilizing an innovative Programs of Excellence (POE) model, built on validated data, we identify top-performing programs to ensure patients receive the best care at efficient costs. Additionally, our in-house contracting and claims teams secure favorable rates and provide prompt, accurate claims processing, enhancing accessibility and affordability of essential treatments.
Discover the Benefits of the Symphony Combined Services Program
The Symphony Combined Services program is designed to provide exceptional care and comprehensive solutions for high-cost medical treatments. By leveraging specialized benefit plan language, rigorous medical management, and innovative program evaluation models, we strive to optimize patient care and reduce costs. Here are three key elements that set our program apart:
Expertly Crafted Benefit Plan Language
The Symphony CancerCARE program provides specialized benefit plan language developed by legal experts to effectively reduce and manage costs related to high-cost, low-frequency procedures, thereby mitigating risk for the plan.
Innovative Programs of Excellence (POE) Model
Drawing on decades of transplantation expertise, data analysis, and quality metrics, INTERLINK's performance-narrowed transplant network identifies top-performing programs, ensuring patients receive care with the shortest wait times, from the highest quality providers which, in turn, minimizes complications for improved outcomes and minimized costs.
Efficient Medical Management & Support
Our seasoned medical management team, led by industry experts, provides comprehensive oversight and personalized care, ensuring the highest standards of treatment and support for our patients.
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Experience the difference our comprehensive approach can make.
Proactive Contracting and Negotiation
Our dedicated in-house contracting team continually reviews and negotiates rates with facilities nationwide. This proactive approach ensures reduced costs for high-cost treatments like transplantation, CAR-T, and Gene & Cell therapies, making these essential treatments more accessible for patients. By consistently securing favorable rates, we enhance the affordability and quality of care provided.
Rapid Claims Repricing
INTERLINK’s in-house claims team is committed to processing all claim data swiftly and accurately, with a 24-48 hour turnaround time and over 95% accuracy rate. Our team's availability ensures that there is always a live representative ready to assist with claims questions via phone or email, providing prompt and reliable support to streamline the claims process and reduce administrative burdens.
Evidence-Based Guideline Care
At INTERLINK, we prioritize adherence to evidence-based guidelines, ensuring that every patient receives care that aligns with the latest clinical standards and advancements. Our rigorous review process is designed to optimize treatment outcomes and enhance the quality of life for our patients. By continually integrating cutting-edge treatments and interventions, we demonstrate our unwavering commitment to delivering superior healthcare services.
Elevate Your Care with Symphony
Personalized Care for Optimal Health and Peace of Mind.
