Pacific Health Alliance (PHA) is a managed healthcare company committed to providing superior access to the highest quality healthcare available. Pacific Health Alliance strives to develop workable partnerships between patients, insurers, employers, hospitals, physicians and other healthcare providers to allow accessible, affordable healthcare to be the standard and not just a goal.
Pacific Health Alliance is a diversified company offering products and services that focus on quality, technology, confidentiality and efficiency for superior healthcare management and claim paying needs. This emphasis, coupled with unparalleled customer service and flexibility, allows our clients to experience exactly what they want from their healthcare providers.
Founded in 1986, Pacific Health Alliance provides the following services:
- Local and national network of Preferred Providers (PPO) for use by self-insured and fully-insured clients.
- Third-party administration services including claims processing, information management, reinsurance services, COBRA services, and plan assistance for self-funded health plans.
- Physician-directed utilization management services
- Re-pricing of in-network and out-of-network claims to enhance client savings
- Physician Group Management Services including managed care contacting and Independent Practice Associates (IPA) management.
- Consulting Services to physician, hospital and other providers related to managed care and employee benefits.
- Individual and small group insurance sales.
- Extensive workers compensations and automobile liability network.
- Bill negotiation services for large claims.
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