About Us

SOLUTIONS in Healthcare Management is our business.

Mid Atlantic Health Solutions is a for-profit, limited liability company in southeast Virginia offering Utilization Management, Case Management, Maternity Management, and Diabetes Management services to self- funded health plans. We also offer credentialing solutions for independent physician practices and group medical practices. Our Utilization Management services provide telephonic medical necessity reviews for prospective, concurrent, and retrospective cases on a national level. Mid Atlantic Health Solutions processes are based upon nationally recognized standards, evaluated by a comprehensive quality management program, and measured for effectiveness against industry benchmarks. Case Management, Maternity Management, and Diabetes Management Programs complement the Utilization Management services offered. Simple Solutions, our physician credentialing service, assists individual physicians as well as larger group practices in navigating the credentialing process required by health plans/networks and hospitals for participation.

Our Medical Director is in active practice physician with over 35 years of clinical practice and 18 years of experience serving as a medical director of managed care. All nurses are professional degree personnel with diverse clinical backgrounds in medical-surgical nursing, as well as specialty areas such as perinatal nursing, critical care nursing, sub-acute care and home health. The Mid Atlantic Health Solutions team is comprised of a mature staff accustomed to the managed healthcare arena.

Proven Results