$45K$101K Most Likely Range Possible Range The estimated total pay for a Provider Relations Specialist at Flume Health is $67,097 per year. The fully-insured plan will cover the cost of direct primary care services for members. Left on his own, statistics show the patient would have gone straight to the referred hospital to join the waitlist, without realizing he had other options. Latest update: 2021-11-19. All Hospital Prices details. Business Solutions. A plan for America's hardest working companies with 100+ employees Say Hello to Flume Health We are transparent self-funded health coverage that costs 30% less than Major Insurance Carriers. Add the Flume Concierge to your phones contacts list. Your healthcare delivery experience, powered by Flume. Once they had these results, Flume's account management team arranged a call with the Advisor and the Plan Sponsor to explain that they had found a higher value alternative that the patient should be aware of before signing to go in for surgery. Flume Health, a health-plan-as-a-service platform, will allow Frontier Direct Care to launch a personalized health plan in as little as six months, according to a Sept. 15 news release from Flume. Flume OS is a new health plan infrastructure, enabling payers to launch incredible new health plans that save money and drive better outcomes. They may also send you to other providers if you need specialty care. If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination. Flume Health's Post Flume Health 2,219 followers 1d . All Hospital Prices Landing Page. Search by name or key term. 2022 Flume Health Inc. All Rights Reserved. Here are the steps taken whenever a client receives referral for a high intensity item: As part of every Flume Health plan, pre-certification is conducted on major procedures during concurrent review. Out of the box point solutions, workflows, and documentation get you started without needing to add headcount. In a self-funded health plan, your employer only pays for medical claims as they happen and pays your providers (aka, doctors, facilities, etc.) With Blue Cross Community Health Plans, you can pick your PCP. Meanwhile, Nurse Deb from AIMM had already contacted the hospital to get them to pre-approve the patient for surgery if they decided to come there. The fully-insured health plan covers the cost of DPC. Well-designed plans can achieve substantial rate decrements compared to standard offerings. Search for a provider Set up your Teladoc account Teladoc is a doctor's appointment you can do via phone or video, and it works just like an in-person visit. The new plan will help Frontier patients and employers in South Texas access high-quality, convenient care through Frontier's primary care physicians, according to the release. Your employer provides Amazon PillPack:a pharmacy service that delivers your medications to you every month. The new plan will help Frontier patients and employers in South Texas access high-quality, convenient care through Frontier's primary care . This number represents the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users. The Problem While legacy insurance carrier plans have been excellent at delivering a one-size-fits-all product, today, companies are racing to build thousands of new health plans personalized to consumer's health needs, demographics, location, and preference. The move adds all 40 NextCare clinics in Texas to the platform. Within. Flume OS has native integrations with dozens of trading partners already, and can handle custom integrations. When compared with a TPA, launching a self-funded health plan with Flume is your best option. Website: flumehealth.com : Pricing URL: Official Flume Health Pricing : Suggest changes. Find a network healthcare provider. You now have a go-to team of care guides to help you get the most out of your health coverage. Not all providers in the UnitedHealthcare Choice Plus PPO network may participate with PEIA. | Flume is partnering with existing franchise owners and utilities to deploy fiber broadband to homes in NYC and other cities. form in order for us to process your claims. At present, Dr. Flume has received an average rating of 4.2 from patients and has been reviewed 9 times. (Concierge Agent)Flume Health is seeking a Member & Provider Services Representative for ourSee this and similar jobs on LinkedIn. For General Information. . Check claims, payments, and fee schedules. These include selecting provider network, PBM, disease management vendors, telemedicine providers, etc. 02 Flume Workflow Engine Trigger events + conditional logic dynamically affect adjudication, webhooks, and engagement in a no-code environment. Patient Resources. In 2019 when Flume Health stepped in to replace Blue Cross Blue Shield with our transparent self-funded model, we found a problem even worse than out-of-control premiums: member health was being neglected. For many partners, most integrations happen via our API's, though Flume OS also supports standard EDI and SFTP transactions. Privacy Policy. Location distance. Flume Health Landing Page. 800-522-0088. AIMM focuses on identifying providers with the best outcomes and preventing overtreatment. The estimated base pay is $67,097 per year. Copyright © 2022 Becker's Healthcare. The highest scoring hospital was not the same hospital the patient's ER doctor had recommended, but an internationally accredited research hospital within driving distance of the patient. Our powerful APIs and EDI toolkit integrate with your support, EMR, or clinical delivery systems, putting them front and center in your new plans. A Health-Plan-as-a-Service, Flume OS eliminates the complexity of designing, managing, and launching personalized healthcare plans. This is a built-in feature that swiftly analyzes high-volume claims for fraud, waste, and abuse, while picking out the big ticket items for personal review by our experts. Cookie Policy. The Role. Header placeholder lorem ipsum dolor sit amet, consectetur adipiscing elit. Listen. 2022 Flume Health Inc. All Rights Reserved. Harlingen, Texas-based direct primary care provider Frontier Direct Care has chosen Flume Health to help launch its new health plan. With Flume With a TPA Log into my.flumehealth.com and click "Contact support" to request extras. Teladoc is a doctors appointment you can do via phone or video, and it works just like an in-person visit. Flume Health Plans save employers an average of $4,862 per employee* Welcome to ProviderSearch. Using the patient's current specialist as the geographic benchmark, six (6) other hospitals were identified within a similar distance that classified as Centers of Excellence (COEs). Turn your plan selections into concrete rules and benefit design, which load into the Flume Workflow Engine and develop plan documents including the Summary Plan Document (SPD). Connect systems such as member support CRM, portals, and data warehouses to the Flume OS. Flume Health. Customer Contact Centers. A few months into the Flume Health plan, he ended up in the ER with severe chest pain, and the ER doctor called for a full lung transplant. The Intentional Health Plans is a self-funded or . Stop overpaying and give your employees a benefit they can actually afford to use. -I quickly learned because they were not part of a network it was my job (free) to get the doctors on-board. Search by specialty. The three of them called the patient and walked him through their process. Track your familys healthcare spend, see claims, order ID cards, and more. miles of. Welcome to your new Flume Health account. P.O. Use the First Health Provider Search Tool to check if your doctor is in-network, or find a new one. Copyright 2022 Becker's Healthcare. This is a very important step to avoid delays paying your medical bills. Posted 1:22:34 AM. Contact us We'd love to talk about how we can work together Email us Send us an email at hello@flumehealth.com Phone support If you're a member of a plan built on Flume OS, use the number provided by your employer Fill out the form below You will need your Flume member ID to complete this step. . Members We got your back Access Your Plan Providers Eligibility, precert & payments Go to Provider home Advisors CA-coverage from your employer. You will need your Flume member ID to complete this step. -Most doctor offices turned them down no matter what help I provided, like direct contact information to people who . Languages. The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com : Check patient eligibility and benefits. and we need to collaborate to find the right answer. Flume OS gives you the ability to experiment with plan design and measure the impact to cohorts of plan subscribers. Your primary care provider (PCP) is your personal doctor who will give you most of your care. Support is provided to both members (the employees and their families to whom we administer healthcare) and healthcare providers (doctors and hospitals that see our members) via phone, email and chat. Acting as the primary point of contact on daytoday . With UnitedHealthcare health insurance plans, you'll have access to a large provider network that includes more than 1.3 million physicians and care professionals and 6500 hospitals and care facilities nationwide.1Sign in to your member account or search our guest directory to find a provider that's right for you. 575 Lexington Avenue, New York, NY, 10022. Work with our stop loss partners to seek actuarial validation on the perceived impact to costs and outcomes. Box 5700. Bringing gigabit home broadband to NYC, LA, Hartford and many other cities! Find a Provider. Contact Information Website www.flumehealth.com Ownership Status Privately Held (backing) Financing Status Venture Capital-Backed Primary Industry Managed Care Other Industries Information Services (B2C) Other Healthcare Services Primary Office 155 5th Avenue 4th Floor New York, NY 10010 United States +1 (845) 000-0000 Flume Health Timeline With the new health plan, Flume is providing its full set of services through its Flume OS platform, which includes provider contract management, payments and claim processing, said Richard. From large healthcare providers and systems to local primary care practices, the creation of personalized health plans has been rising. You can easily: Verify member eligibility status View member benefit and coverage information Retrieve member plan documents View the status of your claims View member ID card Not to mention the price for the surgery was $150,000 cheaper than at the incumbent hospital. Go from idea to fully-fledged health plan. IU Health Foundation. With Flume With a TPA This protocol gives members price transparency on medical procedures, reduced encounter costs, and eliminates the . In some cases, issues can be resolved by providing additional information, as requested by the Flume team. We created Flume Pay, the first healthcare payments technology that enables employer plans to pay medical claims at the time of service - usually in less than 72 hours. View your healthcare claims and deductible/out of pocket balances. Flume Health details. Base Salary Range- $130,000-$140,000, equity in Flume Health, medical benefits, and 401k with 4% matching. Instantly make any form PCI & HIPAA compliant . NEW YORK, July 1, 2021 /PRNewswire/ -- Flume Health, a health plan administration platform for the modern fragmented healthcare ecosystem, today announced that Ann Joo Kim has . Telephone Numbers. Linking and Reprinting Policy. Employees Access your health care and benefits information, quickly and easily from just about anywhere. The programme will be further expanded to include all NextCare's 156 clinics in additional ten states throughout 2022-23. Health-Plan-as-a-Service platform Flume Health has added NextCare, a urgent care and occupational medicine service provider, to its Flume Community Platform. Cleveland, Ohio 44101. directly. The company created Flume Pay, the first healthcare p ayments technology that enables employer plans to pay medical claims within 72 hours of service. The new standard in health plans Flume Health offers plans for self-funded employers who demand seamless, sustainable healthcare. Learn more We built the modern health plan administration platform so you don't have to Your healthcare delivery experience, powered by Flume. In order to complete registration . Congratulations! In some cases, issues can be resolved by providing additional information, as requested by the Flume team. Flume Health, a health-plan-as-a-service platform, will allow Frontier Direct Care to launch a personalized health plan in as little as six months, according to a Sept. 15 news release from Flume. VGS Collect.js; HealthCare.com; All Hospital Prices; Abartys Health; Baby Story; First Opinion; The plan still covered the surgery, as well as several follow-up appointments. If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination or try to resolve the issue. as quickly as possible. In a traditional health plan, your employer pays a monthly premium to an insurance company to cover the cost of potential medical claims and a profit for the health plan. Flume Health was founded in 2018, and closed a $30M series A in February 2022, led by Optum Ventures and CIGNA venturesit was the fastest portfolio company that's ever gone through Optum's due . Hospital affiliation. Launching service in Q4 '20. Provider optimization search begins Overnight, Flume and AIMM's integrated systems searched for all available providers of the lung transplant surgery. In this case, the surgical recommendation triggered Flume Health's integrated medical management partner, AIMM, to look into the case. Flume is building the first modern health plan administration platform - with the goal of becoming the backbone for health plans in the US. This directory provides a list of Ultimate Health Plans' network providers in Indian River, Lake, Marion, Orange, Osceola, Seminole, St. Lucie, and Sumter counties. Print a temporary ID cards. We offer gigabit service that includes a complete WiFi management suite and customer app. Inquiry Welcome, Providers and Staff! Diversity & Inclusion. You can have one PCP for your whole family or you can choose other PCPs for each family member. Flume Health Alternatives The best Flume Health alternatives based on verified products, community votes, reviews and other factors. Flume Health was founded in 2018, and closed a $30M series A in February 2022, led by Optum Ventures and CIGNA venturesit was the fastest portfolio . Flume Health offers an end-to-end solution that allows self-insured employers to optimize, and make the most of the health insurance benefits they offer their employees. If the patient chose the higher-value option, not only could they get a better surgical outcome, but the cost savings to the plan could be passed through to them: the surgery would be free. The patient in question had been suffering from lung problems for six years, but the incumbent had never actively managed his care. Mar 04, 2022, 12:00 ET NEW YORK, March 4, 2022 /PRNewswire/ -- Flume Health, a Health-Plan-as-a-Service platform that simplifies the design and management of healthcare plans, today announced. With Flume as the fully managed nervous system across plan administration, vendor integration, and member-data management, any health insurer (or care provider!) She even put the patient's name on their waitlist in order to get him into the O.R. Flume Health. BLS-n/a Pulmonary Disease Location MUSC Health Rutledge Tower 135 Rutledge Ave, Charleston, SC 29425 843-876-0111 Directions Call Admitting Hospitals MUSC Health University Medical Center. Many plan members love and trust their current doctors, and the patient did ultimately decide to stay at his current care provider. Replace your in-house or external TPA with a full service platform so you can focus on building incredible health plans, not operations. Firefly Health and Radion are the first to . What is the unique care model that the health plan is built around? Overnight, Flume and AIMM's integrated systems searched for all available providers of the lung transplant surgery. Flume | 501 followers on LinkedIn. All Rights Reserved. Physicians Check Claim status, look up patient eligibility and access other important information and useful tools. Flume OS replaces traditional TPAs and enables companies to design and launch powerful next generation health plans in months. The difference in price at this better hospital was so large, in fact, the plan sponsor even agreed to pay for transportation to and from the hospital, their overnight stays, and full paid leave during their recovery period, along with the cost of the procedure. 01 Flume Core Payments, claims, eligibility, contract management, compliance and reportingall in one managed platform that scales with you. If your issues cannot be resolved informally, as a provider you have the right to appeal the determination of any denied services or claim by filing an appeal with us. Founded in 2018, Frontier Primary Care is the largest DPC in southern Texas, serving local businesses, municipalities, and school districts. Identify which partners will perform what jobs in your stack. In doing so, we're using software to replace mostly paper-based processes in the $30B+ third party administration (TPA) industry. Your network is called First Health Network (an Aetna company), and gives you access to physicians, hospitals, specialists, and more. In this role, the analyst will be in an operationsfacing position, fielding all operations, sales and account management requests for reports, analytics, and data needs. In the optimization phase, providers are scored on clinical rankings such as waitlist time, survival rate, readmission rate, and whether or not the facility has an open data sharing policy. The best health plans use data to iterate on design and improve over time. Companies can leverage Flume's Health-Plan-as-a-Service. If you have dependents under 18, you may want them to have their own ID cards. If your issue cannot be resolved informally, as a member you have the right to appeal the determination of any denied services or claim by filing an appeal with us. It's a great way to save time and money on your prescriptions. These include selecting provider network, PBM, disease management vendors, telemedicine providers, etc Flume OS has native integrations with dozens of trading partners already, and can handle custom integrations.. Text Size. The first digital platform for health plan administration Flume OS replaces traditional TPAs and enables companies to design and launch powerful next generation health plans in months. The first digital platform for health plan administration Flume OS replaces traditional TPAs and enables companies to design and launch powerful next generation health plans in months. Open 2022 English & Spanish - Updated 10/5/2022 2023 English & Spanish - Updated 10/5/2022. Flume's Perks & Benefits. Regardless of where a patient ends up getting care, its a health plans responsibility to make sure theyre empowered to make an informed decision. Use the First Health Provider Search Tool to check if your doctor is in-network, or find a new one. From this site you will be able to: View your health plan benefits and summaries. Flume Health Inc. is a digital third party administrator managing health plans for self-insured employers. Hours of Operation. Provider Login Request. Give Your Clients a Health Flywheel Flume runs a transparent self-funded plan that costs 30% less than Major Insurance Carriers and gives employees a benefit they can actually afford to use, so they get healthier Flume plans save employers an average of $4,862 per employee* *Compared to their existing fully insured or ASO self-funded carrier plans Learn the best-in-class tactics that every modern plan needs to include. What are the key mechanics and capabilities that will better serve your target populationseither clinically, economically, or through other benefits and preferences? Find a Network Pharmacy with OptumRx . Tell us how we can help and well get in touch shortly. Customer Contact Center. Who is Flume Health. 8:00 am - 6:00 pm. In The Community. Flume Health today announced the release of Flume OS, a programmatic platform that eliminates the complexity of designing and managing healthcare plans. Log into my.flumehealth.com and click "Contact support" to request extras. Use the CIGNA Provider Search Tool to check if your doctor is in-network, or find a new one. Clients Perform day to day health care and . Set up your Teladoc account Headquarters address. He is affiliated with MUSC Health University Medical Center and Trident Medical Center.. Go to my.flumehealth.com Find a doctor in the CIGNA network Your network is called CIGNA, and gives you access to physicians, hospitals, specialists, and more. Start by defining the plan concept. Exciting announcement: Flume Health Raises $30MSeries ATo Redefine Health Plan Administration Learn more.

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