Purchased Referred Care (PRC)

Services offered:

• Processing referrals initiated by our Jemez Health and Human Services (JHHS) Providers
• Scheduling appointments and submitting pertinent clinical notes and test results
• Referring uninsured patients to Patient Benefits Coordinators
• Reviewing all billing forms and explanations of benefits from outside providers
• Processing purchase orders, JHHS Information Technology transmits to Blue Cross Blue Shield fiscal intermediary for payment processing

Intent:

• Superb customer service for patient satisfaction
• Timely communication of referrals and results to give patients peace of mind regarding their health care
• Winning the trust of patients by assuring them that PRC will cover their bills on time
• Alleviating patients’ financial anxiety by coordinating benefits
• Informing new tribal members of their eligibility, members who would otherwise be unaware of their access to health care at JHHS