Vendor Compliance Program

Vendors drive a large percent of DME spend, as many products are available through physicians’ offices and clinics or injured workers go to their nearest store. As a result, DME spend can very easily get out of control. Our extensive network credentialing ensures reasonable costs, superior products and quality care for your injured workers. Our proprietary Vendor Compliance program reigns in any out-of-network spend. The program offers the following key benefits:

• Vendor management – research and selection of best-in-class providers with ongoing monitoring of performance
• Competitive rates – competitive and contracted rates—with no need for one-off price negotiations by adjusters and nurse case managers
• Rental management – complete management of rental-to-purchase conversion—ensuring cost containment
• Authorization policy – no equipment or supplies auto-shipped without adjuster or case manager authorization
• Order management – prescriptions and letters of medical necessity obtained from physicians before each order is approved