Self-Funded Claims Administration
The key to successful self-funded administration is integration with all your service providers, and we pride ourselves on being collaborative and flexible with all entities, such as the consultant, the stop-loss carrier, case management and the pharmacy benefits manager.
Our Self-Funded Claims Administration services include:
- Claims Processing – Medical, Dental, Vision, Short Term Disability, Flex & HRA Plans
- Enrollment & Eligibility
- Proactive Case Management & Cost Containment Services
- PPO and Rx Network Access and Management
- Out of Network Fee Negotiation Programs
- Stop Loss Insurance Monitoring & Management
- Full Banking and Accounting Administration & Management
- Benefit Appeal Preparation & Follow-up
- Plan Document Maintenance, Booklets & ID Cards
- Flexible Spending Account Administration
- COBRA, HIPAA & ERISA Compliance Administration
- Secure Online Portal for claims and eligibility