Health Care
Coordination
Keystone Health is a NO Cost solution to all members.
We make sure you know and understand your healthcare plan.
Health Care
Coordination
Keystone Health is a NO Cost solution to all members. We make sure you know and understand your healthcare plan.
Dedicated Advocate Team
Care Advocates are experts at teaming up with patients to find solutions. They help patients manage their chronic conditions and navigate the healthcare system so they can focus on getting well.
To connect with your Keystone Health advocate, call our toll-free number or fill out this short survey.
One of our care coordinators will contact you within 24 hours to help you get started.
Care Navigation services we offer to the members:
Specialist referral assistance
Insurance eligibility, coverage, and
deductible explanation
Scheduling appointments
Member carriers coordination
Enjoy the Difference
Our Care Advocates really see their patients through a whole-person lens.
Providing Flexible Options
for outreach and validation. This includes direct call outreach, self-service, emails, faxes, and mail. You can count on over 95% validation data quality with 100% outreach completion.
Assurance of Data Integrity
We remove duplicates, normalize, and geo-code the information before we validate.
Offering Access
to pre-validated provider data. Health plans can use pre-validated network information to gain immediate access to validated provider data, hence eliminating all outreach overheads
Reducing your risk
of member complaints and potential penalties. Timely and consistent completion of campaign outreach ensures that the directories are accurate, which in turn ensures member satisfaction.
Being Better Prepared
with our CMS mock audit to identify data weaknesses and potential compliance violations. We provide access to all outreach attempts and artifacts such as phone recordings, communications, and change history for each modification.
Keystone Health delivers more value to You
Think of Keystone Health as a haven in the health insurance industry. Where members can get help and support to ensure their healthcare experience is on their terms.
3147 S 17th St Suite 300
Wilmington, NC 28412
888-688-1154
admin@keystonehealth.org