Through a combination of our industry insight, technological resources and depth of experience, we’re able to seamlessly handle the entire claims administration process for all types of an employer’s or private company’s healthcare benefit plan.
We custom fit our services to the needs of our clients, with creative solutions that require minimal internal oversight; we can duplicate a current active employee and/or retiree plan design or add a consumer-directed healthcare plan, all the while ensuring an efficient and accurate operation.
With “Smart Health Insurance”, our sophisticated integrated information system, we ensure efficient claims operation, secure and reliable automation, timeliness and cooperation with providers, all the while reaching our goals of working more efficiently, improving our customer service and decreasing administrative costs.
Our in-house medical management team has the experience, expertise and capability to administer all or a portion of the claims process: design, installation, enrollment, eligibility & claim status, collection, reporting parameters, employer management reports, personnel training, data interpretation, cost containment measures, PPO network management, and billing.
