National PPO Network
Forté’s offers a comprehensive, national Preferred Provider Organization (PPO) network of over 525,000 medical professionals who are focused specifically on work-related injuries and illnesses. They understand the value of early intervention, return-to-work guidelines and other industry-specific treatment protocols.
Forté’s sophisticated bill repricing system has the capability to access multiple provider networks based on the needs of each individual client. We work with our clients to perform comprehensive network analyses to identify opportunities which maximize overall network savings. This include a review of our clients’ medical bills, geographic locations, specialty provider needs and more – all geared to ensuring we activate the best network configuration for each client.
We assist clients in increasing savings by providing access to channeling tools. These tools provide listings of nearby network providers for any location. Customized provider panels can also be designed to meet each client’s needs.
To ensure that our clients realize true savings on each bill, Forté applies PPO discounts only after fee schedule, and usual and customary reductions have been applied. The explanation of benefits document indicates the PPO network used for that bill. This detailed communication helps medical providers to quickly see which contractual relationship is tied to the services listed.
Diagnostic Imaging Network
Forté’s high-quality diagnostic imaging network and scheduling services are designed to help clients maximize savings. We help employers save time and money by reducing their workload, ensuring only the most appropriate tests are performed, and providing services at costs significantly below state fee schedules and usual and customary rates. Our broad network provides contracted, full-service imaging facilities within a comfortable driving distance for over 80% of the U.S population.
We take care of scheduling the diagnostic test with the patient and the facility, ensure the patient attends the appointment, and then we quickly send the test results to the client. By providing adjusters with a single point of contact for all scheduling activities, we eliminate the need for them to make multiple calls to the injured worker and provider – an approach that saves time and increases productivity.
Our proprietary scheduling software includes built-in guidelines to ensure only the most appropriate, cost-effective tests are performed. In addition to the savings realized on medical charges, we help reduce the overall cost of a claim by promptly scheduling claimants and expediting the delivery of diagnostic reports.