Crescent Health Solutions is a diversified health services organization licensed in North Carolina, South Carolina, Georgia, and Oklahoma. We specialize in providing flexible, cost-effective and easy-to-use healthcare delivery options, including health plan administration, third-party administrative services, a 40,000+ member PPO with access to 400,000 providers and 4,000 hospitals nationwide, cost-effective pharmacy benefit options, health and disease management oversight, and provider value-based clinical integration solutions. 

 

Products and Services 

  • Preferred Provider Network - 40,000+ members, 5500+ providers, 58 hospitals        and specialty facilities, ancillary providers in multiple states
  • In-house claims processing and repricing
  • Comprehensive health benefit administration
  • Health plan management reporting and data analysis
  • Comprehensive Health Management to include:

       *personal and individualized case management

       *disease management

       *precertification

       *utilization review

       *data review and analysis

  • Pharmacy Benefit Management
  • Health Risk Assessments (HRAs) using Know Your Number (KYN) technology
  • Wellness guidance/support

 

Benefits to Employers

  • Superb locally-based customer service
  • Management of healthcare costs
  • One contract for all health plan services
  • Claims data reporting and analysis