| Provider Resources Inc.’s (PRI’s) divisions are designed to support sweeping healthcare legislative and regulatory changes from inception to delivery by experts.
PRI consists of five program divisions including Policy & Regulatory, Physician Consortium & Clinical Quality, Program Integrity, Education & Outreach, and Information Technology. These divisions develop healthcare-related programs and solutions which benefit the stakeholder community including patients, medical providers, and insurance carriers. The diverse healthcare experience of our experts include topics such as medical review, healthcare policy, quality improvement, patient safety, program safeguard, compliance and integrity, investigations, legal review, data analysis, Medicare and Medicaid programs, healthcare claims pricing and validation, educational development and training, and conference planning. These specialty areas support the core services within each division.