Welcome to the covenant
The Covenant is a national provider of medical cost containment services and solutions.
The company's mission is to significantly reduce healthcare costs for self insured employer groups, third party administrators, and insurance companies in the Group Health, Workers Compensation, and Auto Liability marketplaces.
The Covenant provides a single source solution to cost management, delivering increased savings, while reducing errors and turnaround time. The company's services and cost reduction programs are specifically designed to respond to each client's unique claim exposures with the most competitive pricing in the marketplace.
Client Services include:
- National, Regional, and Specialty PPO networks that provide deep discounts and broad coverage.
- Proprietary medical bill verification and bill review tools that provide prudent, defined, replicable, verifiable, defensible and standardized methodologies for evaluating medical claims for potential provider billing errors and inaccuracies.
- Nationally recognized claims benchmarking tools for usual, customary and reasonable repricing savings.
- Analytic services including
- Treatment evaluation to determine appropriateness of care for a specific diagnosis,
- Excessive utilization of services alert,
- Identification of upcoding and unbundling of charges.
- Negotiation services designed to discount claims that fall out-of-network, providing clients a complete solution to their cost containment needs.
- Repricing for state-mandated fee schedules for worker compensation and auto liability when applicable.
- Data management services for PPO networks.
- Pharmacy Benefit Management products.
These services are managed with our proprietary technology and advanced systems that are HIPAA compliant, EDI ready and Internet enabled.
