StandbyMD was designed to tackle these problems in a more efficient and worldwide approach than other solutions in the market.
StandbyMD is the only worldwide on-demand directional care program for outpatient services.
It is an innovative program that uses a unique risk management algorithm and only suggests the ER when it is medically necessary. Depending on the patient’s situation and needs, StandbyMD uses four levels of services to refer patients to the right level of care needed, improving the client journey and reducing potential costs.
To learn more about StandbyMD and how it can help enhance your members’ experience and make your approach more cost-efficient:
This unique tool has helped us to identify opportunities for significant savings on inpatient, physician and outpatient bills. It all adds up and helps to generate greater savings for our clients.
X-Routing assigns a risk profile to each bill which is based on a number of different factors including but not limited to:
Global Excel works very closely with the insurer and if requested, the insured, to ensure peace of mind during the entire process. Claims of this nature can be extremely complex and our goal is to ensure transparency for all, from the beginning to the end. This includes the risk taker, any assistance company involved, possibly the insured and naturally the healthcare provider. Any financial arrangements made are locked in and completely signed off by the provider, with the insurer being in control at all times.
Our highly specialized Complex Claims Unit (CCU) team examines financial, legal and clinical issues surrounding each complex claim. The CCU is composed of certified coding experts, Registered Nurses and Physicians, in-house legal counsel and seasoned negotiators who examine challenging claims in round-table sessions to determine the optimal approach. Our CCU team then establishes fair market rates and negotiates a secured financial settlement with signed releases from the provider.
Both GEM Clinical and GEM Clinical Xpress allow our clients to maintain all contact with the patient and retain all decision making power/approval with regards to services provided by U.S. facilities.
Global Excel gathers the necessary medical information and shares this with the client, along with our own medical recommendations pertaining to continued treatment, timeline and recommendations regarding fit-to-fly, alternative treatment options and (when applicable) cost-benefit analysis comparing optional care scenarios. Industry-approved care guidelines are relied upon to effectively oversee care and avoid overtreatment.
The FairChex platform supports Medical Management, Advocacy Teams, Patients and Plans in determining choices available for inpatient and outpatient medical procedures. In addition to the actionable financial and clinical data provided by platform, Global Excel can secure a pre-negotiated reimbursement rate prior to care at the chosen facility with FairChex PLUS. FairChexTM PLUS incorporates medical management, benchmarks and sign-off to mitigate facility expenses.
The success and the growth of our company are directly linked to the dedication and expertise of the more than 600 employees who are part of our team. These talented individuals offer a complete range of services to more than 360 clients worldwide, consistently offering them a superior customer experience. Interested in joining our team? Visit our careers section to learn more about the career opportunities available at Global Excel.