Avizzor Health Solutions

Avizzor Health Solution is the leading specialty benefit management company in Puerto Rico and South Florida for the business segments of implantable medical devices and specialty pharmacy. Maximizing Efficiency and Containing Costs.

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Business Consulting

With our consulting expertise, healthcare organizations can manage, optimize and transform their businesses to new, efficient business models.

  • Credentialing
  • Network Development
  • Provider Services
  • Member Services

Clinical Services

  • Pre-authorization services based on CMS Local Coverage Determination and Insurance Medical Policies.
  • Medical Necessity screening.
  • For Specialty Pharmacy our clinical team will conduct a telephone interview with the patient to validate that the medication was administered as directed by physician(Adherence Monitoring).
  • Quality management and Outcomes (subjective and objective measures).

Claims Services

  • Prepayment Reviews
  • Post Payments Review and Recovery process
  • Reimbursement Policy
  • Claims audit
  • Claims Processing
  • Claims payment
  • Benefits management
  • Pre-existing benefit exclusion Management

Training

We acknowledge that training is vital in any project success. That’s why we will train and guide thru the implementation process our client’s team members as part of our service.

Keep in Touch

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Reach Us

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13005 Greenville Avenue,
California, TX 70240

+22 140 006 754

contact@divifinance.com

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