Flexible. Wide-reaching. Cost effective. Rising’s Preferred Provider Organizations (PPOs) provide quality medical care while also providing a quantifiable form of reduced costs to payers.

Customization & Specialization to Meet Your Unique Needs

With our tiered, best-of-breed approach, Rising provides each client with the maximum number of providers and savings opportunities in their jurisdiction(s).

In addition to our traditional PPO offerings, you’ll have access to specialty networks that address some of the most aggressively rising medical costs, like increased drug use and physical therapies.

“We create a custom network matrix for each client, based on jurisdiction, utilization control and operational efficiency.”

– Bob, VP of Repricing Solutions

Key Offerings

  • Broad-based network of facilities, physicians and specialists
  • Specialty Networks, including:
    • Pharmacy
    • Physical Medicine
    • Diagnostic Imaging
    • Ancillary Care (e.g. DME, Home Care, Transportation)
  • Single access point for national, regional and specialty networks
  • Custom network and Managed Care Organizations (MCO) development
  • Direct contracting services
  • Continuous verification of providers’ operations
  • URAC compliant credentialing
  • Substantial provider discounts and claim cost control
  • Innovative Provider Payment options
  • Greater savings when integrated with Medical Bill Review services
  • Client-specific online provider tools, including:
    • Provider Search
    • Directory Generation
    • Panel Production

PPO & Specialty Networks Services: