GLOBAL REACH Rx
Global Reach Rx is the world class concierge third-party administration (TPA) division of Global Reach Health for pharmacy and health plan benefit facilitation and coordination for clients such as TPA’s, private and public international medical insurance companies, self-funded, self-pay, and governmental health plan payors.
Offering unsurpassed world class national and cross border health plan benefit facilitation as a seamless extension of a client’s program, regardless of the location and size is what separates us from the rest. We maintain a company mindset of optimal member satisfaction wherever they are while driving down health care costs without sacrificing quality. International health benefit concierge is who we are and what we do.
Global Reach TPA maintains a dedicated account management team to provide concierge TPA service primarily for inbound international medical beneficiaries. Our primary third-party administration activities include maintenance of a contracted major national medical network and subsequent claims adjudication for our client’s beneficiaries on their behalf.
Our team has the experience and tools to reduce or eliminate any worry or obstacles to cross border health benefit use in an often-complicated foreign health care system with moment to moment member concierge.
When you have a third-party administrator like Global Reach managing your self-insured plan, you ensure your members receive everything promised to them in their plan and limit you from spending more money than anticipated. Our TPA monitors all claims to reduce your financial risk always. Our TPA service is proud to work with our clients to professionally adjudicate many different medical claims with different specialties and different conditions. We know every claim requires attention to detail, and we work with our clients to settle the claim Fast, Friendly and Right the First Time.
We are the solution that can help them reduce cost, manage claims, and negotiate best health care pricing to ensure customer satisfaction. We can be the outsourcing entity of any organization who is willing to control cost for all their claims incurred.
We don’t only have a group of experts specialized in the medical field, but we also help analyze your business to control its health benefit plans associated with your members and we focused on quality over quantity. Global Reach has compiled its own proprietary systems and an alliance of external providers, a service mix that includes Network Administration Services, Network Contracting Services, Quality Assurance, discount management and marketing services.
- In house pharmacy service for extra cost savings and quick turnaround time.
- Direct claim payments for approved prescribed services to providers such as hospital, retail, or infusion pharmacies and medical equipment and supply companies at negotiated rates.
- Direct provider payment options at negotiated rates are available to maximize savings and avoid member out of pocket expenses especially on high dollar claims, in or out of the hospital.
- Coordinating member copay and coinsurance payments between third-party payors and providers when applicable.
- Coordinating counseling of any prescription medication therapy throughout its duration.
- Communicating and coordinating prescription medication refills from the USA when needed to ensure a member does not run out of critical medication.
- Member enrollment into the international program when necessary at home for local and international assistance for hard to find medications for continuity of care and peace of mind anywhere in the world.
- Family Prescription Savings Cards with negotiated and affordable network pricing are available to plan sponsors to control costs whether in the USA or abroad.
- Facilitation of critical prescription medications and medical equipment and supplies to many parts of the world where and when needed from one of our international offices.
- with our international cross border facilitation services.
- for critical medication not available for your member abroad.
- for our direct local in country provider sourcing service and international claim payment for your member to avoid costly and time-consuming member payment and submit for reimbursement.
- to take advantage of the same medication prescribed in the USA and available from a reliable and trusted source abroad with added cost savings or to preserve a member’s coverage cap.
- to ensure continuity of therapy started in the USA and not available abroad or at unrealistic prices or waiting for availability may delay therapy to ensure continuity of therapy for positive treatment and recovery outcomes.
- with our specialists in international customs and regulatory logistics for necessary country specific Ministry of Health permits to expedite package clearance process for legal nationalization of patient specific critical prescription medications and medical supplies.
- Personalized client portal dashboards with real-time data analytics.
- Customized reports for health plan "health" review.
- Tracking and reporting for claim utilization review by disease state and cost.
- Immediate detailed reporting of savings realized.
- Customized and comprehensive real time health plan data analytics and claim cost and savings reporting.
- Technology based systems for simplifying information, communication, and workflow transparency to each client and member.
Global Reach Rx realizes the value of risk versus benefit which, in the global world of pharmaceutical sourcing, can ultimately avoid potential harm in environments with less safeguards normally afforded in first world countries. The less expensive option may not always be the best option for a member and the success of a health plan. Our vendor pharmacies and distributors partners are licensed and insured in their home country and follow script GMP and GDP guidelines.
- TPA licensure and compliance in Florida, Texas, Ohio, Maryland, and California
- GDP and GMP compliance
- FDA and DEA compliance
- HIPPA compliance
- USA export compliance