Expert Support Through Navigator

To assist in the management of catastrophic health care claims, RBS Re offers Navigator, a program of services designed to complement and enhance our clients’ existing medical case management practices. Navigator services can provide additional resources at the time of a catastrophic diagnosis or significant first-dollar claim event.

Cancer Management

We work with leading experts following National Comprehensive Cancer Network (NCCN) guidelines, standards of care and evidence-based criteria to ensure appropriate clinical and financial outcomes are achieved for all parties involved.

Neonatal Care Management

By collaborating with the client’s medical director and NICU teams, we can help provide advanced clinical perspectives to resolve complicated problems and assure that the highest quality infant care will be maintained.

National Transplant Network

Clients benefit from discounted rates and access to the most recognized and credentialed “Centers of Excellence” programs of major transplant networks around the country.

Independent Medical Reviews and Claim Support

When questionable claims or treatment protocols are identified, our specialty peer review services can coordinate with a client’s medical director or clinical resource to help provide accurate, impartial evaluations of treatments and benefit determinations.

Air Ambulance Services

Whether it is a commercial escort or an ICU transport, experienced medical personnel with state-of-the-art medical equipment will handle all the arrangements. When used appropriately, this can be a cost-effective and efficient solution.

Additional Navigator Solutions

  • Out-of-area pricing and network solutions
  • Medical necessity or financial bill audits
  • Subrogation assistance
  • Specialty pharmacy resources

All services described above are coordinated on behalf of clients by RBS Re but are provided by unaffiliated third-parties.

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RBS Re creates complex reinsurance solutions through a comprehensive suite of offerings: Health Plan Reinsurance Provider Excess ACO Reinsurance Employer Stop Loss