Relieve call center and back-office headaches with our end-to-end payer solutions
Outdated technology and high staff turnover in call centers and back office processes make it hard to give your members and networked providers the support they deserve.
Let Third Way Health seamlessly manage your administrative services, provider call centers, member call centers, and care gap closure functions.
The result?
Streamlined operations
Exceptional service
Reduced costs
Results with Third
Way Health
90%
Reduction in wait times and abandonment rates
60%
In operational cost savings
+50%
Conversion on member engagement
Payer solutions overview
Network Management
Don’t just manage your network, optimize it. Our network managementservices proactively control costs ,ensure top-tier care, and propel you ahead of the competition:
Provider data management
Ensure accurate and up-to-date provider data.
Credentialing processing
Accelerate provider onboarding and maintain regulatory compliance.
Eligibility management
Verify and process member eligibility seamlessly.
Benefits management
Simplify plan administration and ensure accurate benefit processing.
Mailroom
Reduce manual handling with digitized and document processing
Provider data management
Ensure accurate and up-to-date provider data.
Credentialing processing
Accelerate provider onboarding and maintain regulatory compliance.
Eligibility management
Verify and process member eligibility seamlessly.
Benefits management
Simplify plan administration and ensure accurate benefit processing.
Mailroom
Reduce manual handling with digitized and document processing
Claims management
Boost claims processing accuracy and efficiency with our end-to-end claims processing solutions, improving turnaround times, and enhancing provider satisfaction.
Claims intake
Efficiently capture and process claims from all sources.
Claims adjudication
Streamline claims adjudication for accurate payment decisions.
Payment integrity
Ensure accurate payments and prevent inappropriate billing.
Claims intake
Efficiently capture and process claims from all sources.
Claims adjudication
Streamline claims adjudication for accurate payment decisions.
Payment integrity
Ensure accurate payments and prevent inappropriate billing.
Quality Management
Lead the way in quality management. Our solutions empower you to optimize care quality, ensure regulatory excellence, and set new standards for performance:
Utilization management
Handle member and provider appeals with efficiency, compliance, and identify trends to reduce case
numbers.
Appeals and grievances
Handle member and provider appeals with efficiency, compliance, and identify trends to reduce case numbers.
Care gap closure
Proactively identify and engage members to complete necessary screenings, tests, and treatments.
Utilization management
Handle member and provider appeals with efficiency, compliance, and identify trends to reduce case
numbers.
Appeals and grievances
Handle member and provider appeals with efficiency, compliance, and identify trends to reduce case numbers.
Care gap closure
Proactively identify and engage members to complete necessary screenings, tests, and treatments.
Member and Provider Engagement
Forge powerful connections with your members and providers. Our dedicated call centers handle all inbound inquiries with efficiency and empathy to foster satisfaction and loyalty.
Member Services call center
Enhance member satisfaction with our responsive, knowledgeable call center services.
Provider Services call center
Deliver exceptional provider support with our dedicated call center.
Member Services call center
Enhance member satisfaction with our responsive, knowledgeable call center services.
Provider Services call center
Deliver exceptional provider support with our dedicated call center.
Why Third Way Health
Advanced technology, top talent, and a commitment to transformation drive each of our solutions:
Technology that empowers
Our robust technology platform is designed to continuously improve your operations and enhance your member experience.
Member and Provider CRM
Understand longitudinal relationships and trends with your members and providers.
AI Agent Assist
Agents are empowered with our AI Agent Assist to streamline workflows and enhance empathy.
Real-time analytics
Gain valuable insights into your operations with real-time data and reporting.
Data security
Your data is secure and protected with our HIPAA and SOC 2-compliant platform.
Transformation, Together
Transforming healthcare requires collaboration more than just meeting today’s needs. We collaborate with you to build innovative, scalable operations that outperform now and outpace the evolving landscape of tomorrow.
Deep expertise
We understand healthcare and bring a track record of success in digital transformation, organizational design, and business process outsourcing.
Seamless transitions
We build change management into our approach, ensuring a smooth transition and adoption.
Process optimization
We analyze your workflows, identify opportunities for improvement, and then actually implement them.
Continuous improvement
We are committed to your long-term success and continuous improvement. Our pricing model ensures it.
Getting started with Third Way Health
Your challenges are unique, your solutions should be too. We tailor our approach to your specific needs and goals. Our upfront investment includes:
1
Collaborative exploration
We’ll get to know your team, understand your challenges, and goals, and explore how our solutions can drive meaningful impact.
2
In-depth operational assessment
We’ll analyze your current operations, identify areas for improvement, and estimate potential cost savings and revenue growth.
3
Tailored solution design
We’ll design a customized solution, including a performance-based pricing model.
Working day-to-day with Third Way Health
We become your trusted partners, fully embedded into your operations and communication channels. Your dedicated Team Lead provides weekly performance reports, qualitative insights, and ongoing support to address issues, adjust schedules, assist with campaigns, and ensure continuous improvement.
Sample Team Lead Profile
Name: Ivan A.
Background: 4-year medical degree, 6 years of call center QA experience.
Languages: English and Spanish.
Client Testimonials:
“Ivan is amazing and always helps to resolve any issues in a timely manner.”
“I truly appreciate Ivan. He is very easy to work with and always responds quickly.”