Core Competencies

CareCore National's business intelligence ensures our health plan clients the highest reduction in unnecessary utilization, significant financial outcomes and improved quality. Our rigorous approach to managing benefits focuses on streamlining patient care, improving quality and reducing cost.

The core components of our management delivery consists of:

• Benchmarking and Reporting
• Claims Review or Claims Adjudication
• Correct Coding and Bundling
• Network Management
• Privileging
• Prior Authorization
• Technology or Rendering Site Quality