Premier
Who is Premier Eye Care?
Premier Eye Care is one of the industry’s most trusted managed eye care companies providing Medical, Routine Vision and full administrative services to Health Plans and their members.
What type of listening is important when speaking to a provider?
Active Listening!
By taking notes and repeating back to the caller what they said to confirm understanding, it helps foster a good first impression and relationship.
What state does Premier manage it's largest overall network?
Florida!
When performing your first initial outreach for recruitment, what 2 pieces of information are MOST important to gather?
Contact name and Email
Once we have these, this allows us to get our foot in the door.An Optometrist is also referred to by this 2 letter acronym?
O.D.
What is the name of the Company that bought Premier?
HN1 - Health Network One
When calling a Provider, you must say your name, company name and what other key piece of information on each call?
On a recorded line!
We want to make the caller aware of this, and should someone ask to not recorded. We can have the call deleted.
Wellcare/Centene
Centene bought out Wellcare, much like HN1 bought out Premier. They are interchangeable.
What is 1 good reasons to research the practice/market prior to making a call?
- Personalize the outreach/Tailored Communication
- Build Rapport/Establish Relationship
- Avoid Irrelevant information (Market type)
There are 2 common types of Medicare that we build networks for, which are they?
HMO and PPO!
Premier is founded on the triple bottom line, or 3 P's known as?
People, Planet Profit!
When using the Call Script, do you need to follow it word for word?
No! We always suggest tailoring it to what is most efficient for you, however until you are familiar with the lingo, it can be very useful to follow the script at first.
Name 2 Health Plans (Not Wellcare) that Premier manages.
Florida Blue
Devoted
Amerihealth
Humana
CarePlus
SOLIS
Ultimate
Can a Ophthalmologist (M.D.) participate in Routine Vision?
Yes! MD's have the option to participate in any and all services that Premier would manage, however it is often more rare that an MD does Routine Vision on a consistent basis.
What RV stand for?
Routine Vision!
How long approximately has Premier been in business?
Over 30 years!
If the person you are speaking with is aggressive, or rude during the call, what is your best course of action?
Maintain Professionalism - Take each call on a case by case basis and ensure that we are treating the person with respect regardless of how they speak to us.
Name 3 states we manage Wellcare in that is NOT Florida.
Alabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Kansas, Louisiana, Massachusetts, Maine, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New York, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Washington, Wisconsin
How many total forms of communication per week to we suggest you follow up with Providers?
2 Total forms - Typically 1 call and 1 email per week.
What does ODM stand for?
OD Medical - This is a market in which Optometrists (O.D.'s) can perform Medical services to the extent of their licensure. M.D.s cannot participate in ODM.
Premier was recognized as one of the Florida Trend's "Best companies to work for" for how many consecutive years?
8! (2013-2019)
What is the Network Management Direct phone number and Extension?
855-787-2020 Option 1
Name 3 states that we managed the Devoted Health Plan in currently.
Hawaii, Florida, Texas
Expansion: Arizona, Arkansas, Colorado, Georgia, Indiana, Kentucky, North Carolina, Oregon, South Carolina, Washington
You are recruiting a network for both RV and ODM. Please explain what (if any) both Optometrists (O.D.s) and Ophthalmologists (M.D.'s) Can participate with.
O.D.s - Both RV and ODM
M.D.s - RV Only
M.D.'s will only be active with Medical if we offer FULL Medical and not OD Medical.
In states we manage the Full Medical, we often contract with Surgical Centers. They go by this 3 letter abbreviation.
ASC - Ambulatory Surgery Center
These are facilities in which Doctors will take patients to perform surgeries.