Customer Success Stories
Learn about the ways andros helps customers tackle provider network management & credentialing challenges with ease.
Humana, the third-largest health insurance provider in the country, originally handled provider credentialing with a third-party vendor.
However, after 5 years, they weren’t satisfied with the vendor they had chosen – slow turnaround times of over 45 days were plaguing their networks, and troublesome regulatory penalties were causing additional headaches.
They recognized that their large provider network was too big to handle and decided to outsource credentialing to the NCQA-certified andros CVO instead.
Learn how our unique approach enabled Humana to proactively identify potential compliance issues and mitigate them before consequences arose.
As a thriving Medicare Advantage HMO based in Maryland with a mission to offer a hands-on approach to long-term care, PPHP was struggling to dedicate the necessary resources to credentialing.
The company was expanding at a pace and volume that was difficult to sustain for their existing CVO, so they decided to look for a vendor with better expertise, methodology, and systems to improve credentialing compliance.
Learn how andros met PPHP’s demanding workload and cut down their credentialing time from several months to just 10 days & has successfully managed credentialing for more than 20,000 providers to date.
A national health plan wanted to expand their Medicare Advantage (MA) offerings. Their goals were to offer new MA plans in two states with established product lines and launch MA plans in three new states.
To achieve these goals in an acceptable time frame, the health plan needed every resource available. Unfortunately, they ran into a challenge: their internal network development team had no bandwidth due to other projects and the available resources on their commercial team did not have any experience with Medicare Advantage requirements.
They decided that they needed to bring in an external partner (with proven expertise) to get the job done. So, the health plan selected andros to help build new, adequate, and marketable Medicare Advantage provider networks in seventy counties across five states.
Check out our latest case study to learn our approach for expansion and the results it yielded.
