Quality of Care. Health Management Solutions. Member Advocacy.
Medical Helpline complements health benefit plans, providing Member Advocacy, Quality of Care, Health Literacy, and Health Care Management solutions.
Our integrated and holistic approach delivers outstanding member satisfaction, improved health care and reduced costs to the member and the plan.
Quality of Care
Medical Helpline Advocate
Medical Helpline Advocate provides members unlimited access to experts regarding their health plan benefits. Our focus on health care literacy turns our members into knowledgeable shoppers for health care services.
Healthcare Bluebook
Medical Helpline and Healthcare Bluebook worked together to deliver customized content relevant to your health plan. Easily learn where you can receive high quality health care services at a reasonable cost.
Health ManagemenT SOLUTIONS
Case Management
Our Case Management services review appropriateness of treatment plans; striving to improve the quality of patient care while minimizing the cost. Our Case Managers engage with patients, family members, and health care providers in the coordination of services from discharge to additional transition of care settings. Case Managers review alternative options for care and negotiate treatment levels and cost to assure that the patient is getting the right care in the right place for the right cost.
Utilization Management
Medical Helpline's Registered Nurses and Advocates help patients obtain appropriate and quality care, while maintaining control over costs. Our services generate quantifiable improvements in care and savings to both the patient and health plan. Our highly-specialized team determines medical necessity, location of care and appropriateness of In and Outpatient Medical, Psychiatric and Substance Abuse admissions/procedures using clinical experience and health care standards.
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MEMBER ADVOCACY
- Medical Helpline Advocate
Medical Helpline Advocate provides members unlimited access to experts regarding their health plan benefits. Our focus on health care literacy turns our members into knowledgeable shoppers for health care services.
