Custom network management

A system designed to fit your members, organization, and goals

We understand your distinct membership needs don't fit into a one-size-fits-all network solution. That's why AmeriHealth Administrators brings the expertise to build, configure, and adjust networks at the client and plan design levels. This is an important distinction. And it gives you the ability to choose the appropriate balance of access and affordability for your members.

A platform designed for you

Our innovative platform is highly configurable and adaptable. Through it, we can:

  • Build out custom provider networks and how they behave for your plan
  • Accommodate unique plan parameters and benefit levels for both medical and pharmacy
  • Add your health system facilities and providers to our payment system as a custom network
  • Create and manage fee schedules
  • Facilitate data exchange between different systems for improved speed, efficiency, accuracy, and, ultimately, costs

Carving out business functions for business partners

Thanks to our flexible platform and technical expertise, we offer you the freedom to choose which administrative functions you keep in-house and which you partner with us to provide. We can start with network management only, and add any additional services you require.

Learn more about our other areas of expertise

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Flexible plan design

Expertise leads to customization and your choice of services, solutions, and packages.

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Clinical programs

When your member or their family has a serious medical issue, turn to our team of experts.

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Analytics and reporting

Get the deep, customizable insights necessary for your plan management and strategy.

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