OUR SERVICES

Mix Solutions brings over 15 years of experience in Contract Management, Business Consulting and Healthcare Administration to care practices. We invite you to learn how we can help your company:

MANAGED CARE CONTRACT NEGOTIATION
  • Identifying necessary Insurance Contacts
  • Letter of Interest Preparation
  • Completion of Credentialing Application
  • Contract Template Review & Analysis
  • Rate, Level & Exclusion Negotiations
  • Document preparation & submittal
  • Follow up until completion
CHANGE OF OWNERSHIP CONTRACTS
  • Notifying Health Plans of Changes in Ownership
  • Assuming or re-negotiating contracts to ensure
  • correct recording of information
  • Re-negotiating rates to current Market Rates
CASE MANAGEMENT & BUSINESS OFFICE SYSTEM CONSULTATION
  • Assessment to ensure Rates & Exclusions are optimized
  • Best Practices for HMO Patient Management
  • UB Review for completion & accuracy
  • Setup & Maintenance of Payment & Tracking System
HMO BAD DEBT COLLECTIONS
  • Review of aging with focus on 90+ Days Outstanding
  • Accounts
  • Analysis of Individual Accounts to plan collection
  • Status updates of account outcomes
  • Updating & Clearing of aging to reflect true amount of collectible dollars
CUSTOM SERVICES

We can assist with your practice’s special needs. Please contact us to discuss your questions and receive more info.

HEALTH PLANS/MEDICAL GROUPS

Mix Solutions has worked with Health Plans in several states. We would be happy to work with any Health Plan you need.

  • National:
  • Aetna
  • Blue Cross
  • Blue Shield
  • Cigna
  • Humana
  • Care 1st
  • Caremore
  • Healthnet
  • Kaiser
  • Molina
  • United
  • Pacificare/Secure Horizon
  • SCAN
  • Tricare
  • Universal
  • Veterans Administration
  • Arizona:
  • Arizona Department of Economic Security
  • Banner
  • Bridgeway Health
  • Cofinity
  • Health Choice
  • Inspiris
  • Maricopa Integrated Health Systems
  • Mercy Care
  • Phoenix Health Plan/Abrazo Advantage
  • Yavapai County
  • Texas:
  • Health Spring
  • Health Smart
  • Select Care of Texas
  • Scott and White Health Plan
  • USA Management
  • California:
  • Accountable Healthcare
  • Bakersfield Family Medical Center
  • Cal Optima
  • Central Health Plan of California
  • Citizens Choice
  • GEM Care Health Plan
  • Healthcare Partners
  • Hoag/Greater Newport Physicians
  • Inland Empire Health Plan
  • Intervalley Health Plan
  • LA Care Health Plan
  • Memorial IPA
  • Monarch
  • Palomar Pomerado Hospital System
  • Prime Care/North American Medical Management
  • Prospect
  • Regal /Heritage
  • Santa Clara Family Health Plan
  • St Joseph IPA
  • Tri-City IPA
  • Utah:
  • Altius
  • DMBA
  • Select Health
  • Sterling Health Plan
  • University of Utah/Healthy U