Provider Network Solutions (PNS) is the market leader and innovator in Specialty MSO and Third-Party Administrative services, managing Governmental and Commercial lines of business to align Health Plans, Primary Care Physicians, and Specialists in a comprehensive ecosystem.
PNS optimizes the delivery of specialty healthcare, guided by advanced analytics and NCQA Accredited UM Program while adhering to regulatory requirements. Health Plan and Provider partners benefit from over 30 years of specialty risk management expertise.
We enhance the collaboration and alignment between providers & health plans.
We provide tools and strategies to maximize your clinical operations.
We constantly aim to assist you in greatly improving clinical outcomes.
We deliver tools that adhere to both regulatory and security requirements.
Call Us Today – (888) 959-8714
Provider Network Solutions, its subsidiaries, and its affiliates’ certification decisions are based only on the appropriateness of care and service and the existence of coverage. Provider Network Solutions, its subsidiaries, and its affiliates do not reward physician reviewers, case managers, employees, practitioners, or other individuals for issuing denials of coverage or service. Provider Network Solutions, its subsidiaries, and its affiliates do not pay incentives to physician reviewers, case managers, employees, practitioners, or other individuals to reduce the provision of care which is deemed medically necessary. Provider Network Solutions, its subsidiaries, and its affiliates do not give financial incentives to physician reviewers, case managers, employees, practitioners, or other individuals to encourage decisions that result in under-utilization of care or services.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. You may access the Nondiscrimination and Accessibility notice by clicking here.
