Preferred Vendors

Fiserv Health is able to partner with the leaders in the healthcare industry due to our size and reputation. These partnerships extend beyond mere alliances into seamless, integrated service solutions for all Fiserv Health users. Our online solutions reflect the complete integration of our business processes and the technologies that support them, leading to a revolutionary new era of online healthcare benefits administration services.

Preferred Provider Organizations:
With over 150 PPO Network Partners, Fiserv Health clients have access to networks including PHCS, Beech Street, CCN, UP & UP, and the Guardian dental network. Fiserv Health also has partnerships with Medco Health and AdvancePCS, two of the most reputable Pharmacy Benefit Managers in the nation. Both Medco Health and Advance PCS provide cost-effective, high-quality integrated PBM services, clinical programs, mail service and sophisticated claims adjudication systems.

Utilization Management
In addition to Fiserv Health’s Clinical Care Management products, we offer access to the following vendors:

Fiserv Health Care Management
Intracorp Utilization Management
American Health Holdings (AHH)
CIGNA Behavioral Health
National Health Services (NHS)
Health Care Strategies (HCS)

Other Managed Care Providers:
In addition, Fiserv Health has teamed with a number of other managed care providers including

URN (United Resource Network) for transplant management
OPTUM for demand management and EAP services
Other behavioral health services: CIGNA Behavioral Health, Value Options

Insurance
We have 4 preferred stop loss vendors that total approximately $25m in stop loss premiums.  They are:

J. Allan Hall/Companion Life
The Hartford
International Assurance/Gerber Life
NRT/Zurich America