Workers' Comp and Auto Network Solutions

Better Total Care and Cost Outcomes

Network solutions that meet patient coverage needs, reduce cost and maximize savings for better outcomes

Comprehensive P&C Network Solutions

Enlyte offers the largest directly contracted 100% P&C focused national network combined with local contracting, dedicated network management resources and regulatory expertise backed by over 40 years of experience in the casualty market. Our network solutions include workers' compensation and auto broad-based networks, state certified programs, outcomes-based networks and specialty networks to meet your specific goals.

How We Deliver Exceptional Network Access Solutions

 

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100% P&C National Network
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875K Providers Across 1.1M Locations
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5,600 Hospitals
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100+ Dedicated Support and Network Management Resources
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15 State-Certified Networks
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46 Outcomes-Based Network Jurisdictions
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65+ Provider Contract Negotiators
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70+ Dedicated Regulatory and Compliance Experts

Enlyte's Outcomes-Based Network has shown to reduce total claim costs by 40-50%

Our Investments and Innovations

 

Contracting Strategy

  • URAC/NCQA credentialing program ensures provider quality
  • VIP provider program proactively builds relationships
  • Continuous improvement of results through new provider negotiations and renegotiations

Provider Engagement

  • Education, engagement, servicing & support focused on most utilized providers
  • Portal enhances provider recruitment process, improves information access & increases provider satisfaction

Network Management

  • Clear focus on workers’ compensation & auto markets
  • Ongoing provider data validation
  • Continuous monitoring to ensure network coverage and performance

Regulatory and Compliance

  • Enlyte-wide support
  • Provides expert testimony with legislative bodies
  • Litigation support services for clients

Data Analytics

  • Integrating AI with our data platform to support automation initiatives
  • Analytic support for negotiations drives rate improvement for impact
  • Casualty-focused systems for data collection, contract & rate administration
  • Ongoing data monitoring, reduces errors, improved repricing & bill review integrations

Network Solutions

Whether you’re looking for the industry’s largest directly contracted network, an outcomes-based solution, a state-certified solution, or even an auto network – we've got you covered.

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Broad-Based Networks

Access the industry's largest, national directly contracted network with contracts specific to workers' compensation and auto. Our networks feature dedicated contracting resources, workers' comp and auto-specific contracts, negotiated rates, top out-of-network contracted providers, and proactive contract renegotiations.

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Outcomes-Based Networks

Our Outcomes-Based Network (OBN) program provides a channeling mechanism to health care providers who demonstrate a depth of experience in treating workers’ compensation injuries and exhibit consistently better measures of clinical outcomes, medical utilization, pharmacy utilization, return to work and financial outcomes when compared to their peers.

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State-Certified Networks

Enlyte offers fully bundled and network-only certified programs in 15 states designed to closely manage workers’ compensation injuries and costs. Our certified networks manage medical costs and return-to-work outcomes without compromising quality of care.

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Specialty Networks

Whether it is durable medical equipment, home health, transportation & translation, diagnostic imaging, or another specialty network solution, we are here to take the ball and run with it.

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MetraComp

One of the largest New York State certified PPOs created specifically with workers’ comp in mind.

QualCare

QualCare is one of New Jersey’s leading Preferred Provider Networks with broad regional access to the top New Jersey, New York City and Philadelphia area hospitals and physicians.

Let's Connect

Need Network Solutions That Will Deliver Better Total Care and Cost Outcomes?

To help you achieve your outcomes goals, speak with your customer success manager or fill out the form below and we'll have them contact you. Together, we will determine the network solutions that best meet your needs.