Our Mission
ProCare’s mission is to exceed our clients’ expectations by offering personalized and innovative solutions to increase their financial bottom line while providing the highest quality health care services to our members. Our goal is to help our clients achieve five-star ratings for quality and service and the highest RAF-HCC scores possible.
Our Vision
To be an innovative leader in healthcare management to maximize patient’s health and quality of care.
Our Services Include:
- Risk Adjustment (RAF) Education and Training
- Risk Adjustment Reporting
- Hierarchical Condition Category (HCC) GuidelinesDirect
- Encounter Training and Support to Physicians
- Maximize Reimbursement to Physicians
- Provide Accurate Eligibility/Capitation Lists
- Timely Claims Adjudication
- Live Direct and Online Referral Process
- Auto Adjudicated and Expedited Authorizations
- Utilization Management
- Quality Case Management
- Care Management
- Prompt Response to Providers and Members
