Services Include:
Develop plan design- provide guidance in developing a plan that meets the client's needs for the best possible price.
Provide plan document- create written plan description for employees.
Eligibility file maintenance- Monitor and maintain eligibility of covered persons.
Provide banking options- maintain client claims paying account; tailor check release based on client needs.
Provide detail billing- produce detail monthly billing.
Provide medical identification cards- produce hard plastic cards containing pertinent information regarding the plan.
Claim repricing to physician networks (PPO)- reprice bills to fee schedule for physician network (PPO's)
Out-of-Network discount negotiation- when possible, provide negotiated discounts for out-of-network services.
Claim adjudication- Claim processing by experienced adjusters who are available to handle questions regarding your specific plan design.
Immediate access to customer service via web, or telephone.
Full Monthly reporting