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Support Products

 

We offer a full range of services to supplement our base products. These services provide our customers a single source of administration to satisfy the requirements of their employee benefit programs and include.


COBRA Administration

Our COBRA administration notifies qualified beneficiaries of continuation of coverage rights, election forms, termination notices, premium bills, and collection. We assist with the preparation of plan documents, policies, and booklets for the customer's approval, along with claims processing, reporting, and monthly remittance of collected premiums.


HIPAA Administration

Our HIPAA administration includes the review of new hire certificates of coverage and notice to new hires of status under the current plan or application of a pre-existing limitation. Privacy notices, Business Associate Agreement management, and required access to Protected Health information are also included.

Click here to learn more about our COBRA and HIPAA services.

 

Premium Billing and Collection

Our premium bill and collection services are provided to our key vendor relationships (as defined by the customer).

 

Interface with PPO and Managed Care Networks

Our interface with PPO and managed care networks provide both current employee eligibility, as well as current reflection of the providers participating in the network for optimal utilization of discounting arrangements.

 

Claims Repricing

Our claims repricing offers quick claims adjudication processing for managed care networks without mail transition (where available).

 

Stop Loss Contract Provisions

Our stop loss contract provisions are loaded by contract specific parameters in the system. Our stop loss unit coordinates notification, filing, and reimbursement activities for our customers when contract provisions are met.

 

Statistical Analysis Services

Our statistical analysis services provide our customers access to use comparative data and national norms as a basis for customer data comparisons. We provide customer comparisons both in written reports and graphical illustrations

To learn more about our employee benefit programs and services, please contact one of our professionals.