Guardian Managed Care

At Guardian Managed Care Solutions, we provide medical cost containment services for employers, third party administrators, insurance companies, government entities and self-funded payers. Our client-centric workflow allows us to deliver maximum savings, supported by industry leading customer service.

Built by a TPA, with the needs of a TPA in mind, we recognized there was a need in the market to address cost containment concerns. Out of that need, Guardian Managed Care was born, built on customized solutions and a dedicated team, with the focused goal of achieving better outcomes for you.

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Maximizing Your Savings

  • Layering PPO Networks, custom built to meet the specific requirements of each individual case
  • Operating as a standalone entity, independent from medical networks, allowing us to focus directly on client savings and satisfaction
  • Customized workflows, embedding our services within your operations to streamline processes, ensure efficiency, reduce waste, and maximize results
  • Robust credentialling of our provider network to ensure the highest standard of healthcare
  • Comprehensive services performed by experienced industry professionals – We personally review every bill we receive

Technology Solutions, Tailored to You

Connectivity with our clients allows us to quickly and efficiently analyze bills and identify savings. Our systems can easily integrate with every major claims management platforms in the market, providing for smoother transfer of data and tailored solutions, embedded into your workflow.

Our software and technology allows us to eliminate many of the administrative burdens faced by our clients, including:

  • Check Processing
  • Audit and Compliance reviews
  • Coordination of pre-authorization forms to flow into the bill review process