Preferred Provider Organization (PPO):
One of the largest networks in Tulare/Kings Counties, this panel has over 400 credentialed member physicians, ancillary providers, and hospitals. TKFMC providers agree to accept discounted fees, physician peer review and utilization management as a means of maintaining quality care. The TKFMC PPO panel emphasizes patient choice, and allows access to a broad selection of providers dedicated to delivering care in a cost-effective manner.
Outside of Tulare/Kings Counties, we are affiliated with Foundations for Medical Care networks throughout California, with over 27,000 physicians, 400 hospitals, and 5,000 ancillary providers.
TKFMC specializes in administration of self-funded health benefit plans. Along with prudent claims adjudication, TKFMC provides a full range of informative management reports to help track utilization costs and savings, accounting services, reinsurance billings, and assistance in plan document preparation, claims prepricing, and network access.
TKFMC's computerized system has the flexibility to tailor benefit plans to meet the individual needs of each client. The system generates management reports, which provide information on claim activity, dollar savings, and performance.
TKFMC's administrative services include: Claims administration, enrollment services, customer service, management reporting, billing and trust fund distribution, reinsurance services, network access and management (medical, dental, vision, mental health), and COBRA administration.
TKFMC's professional approach to third-party administration ensures a commitment to working with the employer, consultant, and reinsurance carrier. The end result is a complete health benefits administration package, which combines strong cost containment programs with sound claims adjudication and a constant dedication to meeting the needs of clients.
For additional information regarding our networks and services, please contact us at one of the numbers below.
3335 South Fairway
Visalia, CA 93277
(559) 734-1321 or (800) 662-5502
Fax: (559) 734-3828