Eligibility/Enrollment and Referral Services

IHR maintains a sophisticated Eligibility & Enrollment Department that ensures accurate member information.  This provides auditing and reconciliation of monthly capitation from the HMOs, and verifies accurate capitation physician payments on a monthly basis.  IHR now has online eligibility and enrollment processing available for physicians and members with online access.

IHR offers timely processing of referrals within five (5) business days. Real time access to the most current preferred provider network (on line) is available as well as a clinical staff to assist with coordination of Medical Management Services.  STAT referrals, referral history and status are only a few computer keystrokes away with our integrated software programs.