BUILDING AND CURING YOUR

PROVIDER NETWORK

Network Development Professionals

OUR MISSION

Our mission is to assist health plans and providers in the development and management of their provider networks,  ensuring regulatory compliance and operational success.

OUR VISION

To be your simple solution for building and curing your provider networks.

We are committed to your success by being the sole source for your organization to:

  • Development of Compliant Networks for Medicare Advantage, Special Needs Plans (D-SNP, etc…), Medicaid and Commercial Plans
  • Development of Networks for an ACO, PHO, IPA or other organization
  • Identify and Cure any provider directory inaccuracies, ensuring compliance with regulatory requirements. (CMS, State Dept. of Health)
  • Identify and Cure any deficiencies in any provider network in existing service areas.

Recent Accomplishments

Constantia Health – Executive Team

Andrew Cain

PRESIDENT

  • 20 years of experience in healthcare reimbursement, provider network development and provider relations
  • Executive experience in Medicare and Medicaid Health Plans

Stephen Brooks

EXECUTIVE VICE PRESIDENT

  • 20 years of experience in constructing and leading provider reimbursement audits and building networks for Medicare Advantage plans in various markets
  • Executive experience in Payment integrity and Network Development

SOLUTION BASED CONSULTING

We focus on the most essential functions of your plan while mitigating risk of future audits.

No project is too big or too small!

For More

Info and Support
PO Box 158325
Nashville, Tennessee
37215
(615) 338-8278

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