Providers Network Solutions Puerto Rico, a healthcare management services organization (MSO), provides administrative support services to individual physicians and group practices. Our goal is to relieve physicians of the administrative burden so they can focus on the clinical aspects of their practices.

We provide the infrastructure necessary to administer the following services, which smaller groups and individual practices may not have the resources or staff to sustain:

• Contracting (Health Plan and Provider)
• Comprehensive Utilization Management and Care Plus Programs
• Performance Programs (STAR, HCC, HEDIS, Pay for Performance)
• Provider Relations and Network Management
• Credentialing
• Customer Service and Member Relations/Retention
• Claims Processing
• Financial Services and Decision Support
• Business Development and Marketing
• Information Technology
• Auditing and Compliance
• And more

By providing “turn-key” operations with integrated management services, we help bring quality healthcare and cost savings to providers, patients and payers.