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 Bullet List of Services

*Other Services 

  • PPO

  • Prescription Benefit Management

  • Retrospective Review of Healthcare 
    Claims Data and Recovery Service

  • PPO Out-of-Network Bill Review and Fee Negotiation Services

  • Mental Health & Substance Abuse Utilization

* available through contract vendors

 

 

Additional Services

  • Case Management

  • Utilization Management

  • COBRA and HIPAA Administration

 

 

Claim Administration

  • Medical

  • Dental

  • Vision

  • Medical Flexible Spending

  • Dependent Care Flexible Spending

 


 

Reporting - Standard

  • Claim Reports

  • Stop Loss

  • EDI

  • Flexible Spending

  • COBRA

  • Billing

  • Accounting

 

Reporting - Custom

  • Available for an additional fee


System Capabilities

  • Scanned Claim Images

  • EDI

  • Auto Adjudication of Claims

  • Client Specific Plan Designs

  • PPO


Interactive Voice Response System

  • Status Claims

  • Receive a Faxed Verification of Benefits (VOB)

  • Check Individual & Family 
    Out-of-Pocket  Amounts

  • Check Individual and Family 
    Deductible  Amounts

 

 

 

 

 

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