Payer
Information
Our Services
Podiatry Plan is a single-specialty medical group founded in 1982. Why is Podiatry care important enough to have its’ own plan? The trend for podiatry care is rising. Studies show if foot problems are not addressed early, they can lead to expensive in-hospital medical treatments, including surgery. So, why partner with Podiatry Plan?
CREDENTIALING
Our intimate knowledge of podiatric medicine allows us to select and credential the very finest professionals who are dedicated to the plan’s principles of offering the highest quality care at affordable rates.
PEER REVIEW / QUALITY ASSURANCE
Continuous participation of doctors is based on strict peer review, comprehensive quality assurance, and on-site visits.
UTILIZATION, HOSPITAL PRE-CERTIFICATION, AND CLAIMS REVIEW
Utilization and claims review ensures podiatry services are being used appropriately so patients get the care they need as economically as possible and claims are paid accurately, quickly, and cost-efficiently.
Types of Contracts
Commercial – PPO, HMO and EPO
ERISA sub contracts or carve outs
Hospitals
Provider certification
Panel development and fee contracts
Medicare risks
Workers Compensation
Machine-Readable Files
Podiatry Plan has been actively working with Integrated Payor Solutions to support the required capabilities for applicable provisions of the final Transparency in Coverage Rule.
In accordance with the public transparency disclosure requirement, we have released the following machine-readable files (MRF) containing
All professional and ancillary providers and negotiated rates for covered items and services with in-network providers
Institutional providers and negotiated rates
Please note that Out-of-Network files are under construction as well and will be provided when available throughout the remainder of the year.
To access our machine-readable files, please click below
Become a Partner
Interested in becoming a partner? Contact us for more information!