extensive experience in healthcare operations


Best in Class Solutions

Process Mapping
provider data management
Successful Process Implementations
Solving Administrative Health Plan Headaches
Provider Data
Simplifying Compliance Regulation
Navigating Health Plan Data
about our company

Professional Healthcare Consulting Services

We use 45 years of experience in the development, improvement and implementation of operational processes to align with your strategic goals.

our services

We Offer Solutions for

Third Party Administrators

We use our years of experience to provide management solutions to working with health plan TPAs. We understand how to get the results you are looking for from external vendors.

Enrollment Processes

Quality enrollment processes start with our extensive knowledge reducing errors that cause processing delays.

Claims mapping, submissions + validation

Establishing clear processes is a critical step in any administrator's claim validation procedure. We are familiar with technology solutions and understand how to minimize confusion during claims data ingestion and processing.

Broker Commission mapping, submissions + validation

Develop custom broker payment processes for seamless integration allowing you to make timely broker payments.

Provider Data

Our quality control team can review and establish baseline procedures to minimize issues with provider data accuracy.

Regulatory system mapping, submissions + validation

Practical Process Consulting has comprehensive experience in developing Complaints, Appeals and Grievances workflows and data management that meet statewide measures.

Review From Our Clients

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