The Claims services we offer are Medical, Dental & Vision Claims, Billing, Prescription Drug Programs, Regulatory Compliance, HRA/HSA/FSA, Out of Network claims, and EDI Services.
Reporting and Analysis
Standard and client specific reports can be provided on a monthly, quarterly or annual basis. We can report on national trends, demographic, financial and utilization information that is beneficial in determining the cost effectiveness of any program.
Benefit Plan Design
We will review, upon request, a client’s plan design in order to achieve desired cost savings, maintain compliance with federal legislation and increase the auto adjudication level.
Our trained claims professionals stand ready to assist employees with questions about covered services, benefit plan payments, and other needs.
Managed Care and PPO
We own our own network and have relationships with a number of local, regional and national preferred provider organizations (PPOs) which can offer additional savings for plan sponsors.