The primary goal of case management is to provide the appropriate level of care in the most cost-effective setting.  MedBen’s case management program impacts health care costs through educating parents and families on lower-cost alternatives, negotiating with alternative care providers to provide high-quality service at cost-effective rates, and coordinating services to assure a smooth transition between care facilities.

iProcert^TM administers MedBen’s case management functions using a physician-led approach. The staff at iProcert^TM includes a team of board certified medical directors and registered nurses who use established national medical guidelines to evaluate hospitalizations and outpatient services, as well as the appropriateness of the overall treatment plans.

Employers are kept apprised of case management activity through reports detailing types of procedures, days saved, projected dollar savings and demographics of members.

With iProcert^TM, MedBen clients have a fully integrated claims management system: claims prevention through disease management, cost control through claims surveillance, and assured appropriateness of care through effective medical management services.

For more information about case management, please e-mail our marketing department at marketing@medben.com.