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Featured Services

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    Consistently operating on a two-day turnaround for completed claims. Read more
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    Our COBRA process is easily understood and communicated to carriers. Read more
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    Records Transition. With many years in the industry we have had many opportunities to oversee the transition of duties. Read more
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    Automated PPO Services.  We maintain a complete record of PPO providers on our system and electronically receive re-priced claims. Read more
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    FSA, HRA and HSA Accounts Consumer-directed health strategies provide a method of managing rising health care costs by involving the consumer. Read more
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    Contribution accounting and Hour Bank Eligibility Functions We are extremely knowledgeable and experienced in handling contribution accounting functions. Read more

Our Features

Main Tabs Image We have a variety of health plan clients for whom we provide various levels of services.

We can provide full-service administration including claims processing or we can provide eligibility tracking for submission to an insurer.  Our experienced claims processing staff are capable of processing medical, dental, vision, prescription...

 

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Main Tabs Image Flexible and Extensive Reporting Capabilities

The reports we can provide to our clients are often their main source of data for decision-making. The data in our computer systems are maintained at their lowest component level; allowing us to easily create custom reporting for our clients.

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Main Tabs Image Document Preparation and Design

On a fee-for-service basis, we can produce a variety of professional-quality forms and documents. 

 

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We utilize Trizetto, Inc.'s "Rims" claims processing system to process and pay more than $60 million annually in medical, dental, vision, prescription, disability and flexible spending account claims.

More than 400 users of this system utilize it to process 60% of the medical claims paid in the United States.

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Main Tabs Image Defined Contribution and Defined Benefit Plan Administration

Pension, Annuity and Vacation Fund benefit payments are processed on an internally developed database system that can generate a file of Automated Clearing House transactions for the electronic deposit of...

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Main Tabs ImageA key component to accurate and efficient claims processing is the maintenance of accurate and timely updated eligibility records.

Our eligibility system includes complete data for plan participants such as coverages, benefits, dependents, and COB information.

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