CLEARWATER, Fla., March 11, 2011 /PRNewswire/ -- Advantica (formerly Advantica EyeCare), a Florida-based vision and dental benefits company, is pleased to announce the benefits company has been awarded an Organizational Certification from the National Committee on Quality Assurance (NCQA) for its utilization management program.
"Achieving Organizational Certification from NCQA demonstrates that Advantica has the systems, processes and personnel in place to conduct utilization management in accordance with the strictest quality standards," Margaret E. O'Kane, President of NCQA.
Since 2004, Advantica has been developing a comprehensive, proprietary product portfolio and programs that analyze the appropriateness of care, establish benchmarks for quality eye care, and employ continuous claim review to improve both the quality and cost of care being delivered. Advantica's comprehensive understanding of all facets of the eye care delivery system has led to these highly effective products and programs.
"Achieving NCQA certification for utilization management validates the work we have done in building our team and systems," says Richard Sanchez, president and CEO of Advantica. "This type of acknowledgement by a key oversight organization is important to us, particularly as we partner with health plan clients."
Advantica's NCQA utilization management Certification is effective February 25, 2011 through February 25, 2013. NCQA Certification in utilization management is a voluntary quality assessment program that focuses on consumer protection and customer service improvement. Standards recognize that organizations that apply for certification have open access networks, can improve quality and utilize customized structures to meet purchaser needs. NCQA has reviewed and certified Advantica's utilization management functions only. For complete details on the scope of this review, visit www.ncqa.org.