San Juan, Puerto Rico  – NetClaim Solutions  is proud to announce that it has earned URAC accreditation for Health Utilization Management. URAC is the independent leader in promoting health care quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure and risk management. By achieving this status, NetClaim Solutions has demonstrated its commitment to quality care, enhanced processes, patient safety and improved outcomes.

NetClaim Solutions is a fully Puerto Rican company that has been working with the administration of dental benefits of most medical plans in Puerto Rico for over fifteen years. Today, the company operates as a Management Services Organization (MSO) specializing in the management of dental benefits for Medicare Advantage, Government Health Plan (Vital), and Commercial lines of business.

“Receiving this URAC accreditation validates our ongoing commitment to operational excellence and to ensuring that the members we serve have access to the highest quality dental benefit management services,” said Zinnia Santiago, President of NetClaim Solutions. “As a Puerto Rican company, this achievement reflects our dedication to both our local community and the broader health care industry.”

“Health care professionals know that utilization management is an important component to ensure that patients receive the most appropriate care for their particular needs. URAC’s Health Utilization Management Accreditation is a demonstration of excellence in reviewer qualifications, efficient timelines, appeals and drug utilization management. We are proud to recognize NetClaim Solutions for achieving URAC’s Health Utilization Management Accreditation,” said URAC’s President and CEO Shawn Griffin, MD.

About NetClaim Solutions

NetClaim Solutions is a Puerto Rican company with more than fifteen years of experience in the administration and management of dental benefits. Today, NetClaim Solutions serves as a Management Services Organization specializing in the management of dental benefits for Medicare Advantage, Government Health Plan (Vital), and Commercial lines of business.

About URAC

Founded in 1990 as a non-profit organization, URAC is the independent leader in promoting health care quality and patient safety through renowned accreditation programs. URAC develops its evidence-based standards in collaboration with a wide array of stakeholders and industry experts. The company’s portfolio of accreditation and certification programs spans the health care industry, addressing health equity, workplace mental health, health care management and operations, pharmacies, telehealth, health plans, medical practices and more. URAC accreditation is a symbol of excellence for organizations to showcase their URAC | Visual Identity Guide validated commitment to quality and accountability.