FBMC has established the following two tiered program to select Medical Management Partners, and Preferred Medical Management Partners.

The first tier selects Medical Management Partners using set qualification standards. This tier is designed to weed out all companies that do not maintain FBMC’s stringent standards, industry standards, or provide the necessary initiatives that will satisfy our customers. For example, Medical Management Partners must provide FBMC’s Registered Nurse with access to clinical information (case management notes), maintain a current Accreditation with a nationally recognized Accrediting firm (NCQA, URAC), etc.

The final tier selects Preferred Medical Management Partners using set experience qualification standards. If a Medical Management Partner from the first tier not only meets, but exceeds all qualification standards within this tier they will achieve Preferred Medical Management Partner status. The following are sample ratings that will be applied to enable FBMC Partners to elevate their status to that of Preferred Medical Management Partners: Timeliness in loading pre-certs (Don’t hold up FBMC Administration), Proactive benefit design recommendations, etc. 

Preferred Medical Management Partners will be exhibited on the FBMC web site, and will be offered first rights to all new business, and renewal business opportunities.