Claim Management That Builds Value
We are committed to building value for our customers. To that end, we find new ways to ease the financial and administrative burdens of our clients. We use new technologies, constantly improve communication and facilitate easy access to our products and services.
Flexibility and Resources to Match Your Needs
We wrap our practices around your way of doing business. We provide the flexibility of a Third-Party Administrator (TPA) while leveraging the resources of a large insurance company.
The Advantage to You
Because we process self-funded claims by the same method as insured claims, employers benefit from the same systems, controls, procedures and tools we use for insured customers. We treat every self-funded claim dollar as if it were our own. This ensures we are looking after the best interest of our customers.
Integrated System Features
- Real-time integration between Claims, Administration and Utilization Management
- Special investigative services (internal fraud department)
- Automated integration with preferred outside vendors
- Customers save money whenever appropriate — prevents duplicate charges and curtails unnecessary bundling or unbundling of procedures
Service Centers Performance Results for 2004
- Average Service Days: 7.2 Days
- % paid within 10 Days: 92.00%
- Performance Guarantee Quality:
- Financial Quality: 99.61%
- Procedural Quality: 99.67%
A Complete Package
We pursue all options to "never pay retail" and save our customer's money. We offer a wealth of state-of-the-art programs designed to increase overall health, bring value, save money and decrease claims costs. Combine this value-added claim management with our evolutionary care management, value added services, and network solutions, and you'll find one of the most complete packages in the market for providing quality service and helping keep healthcare costs in check.
