Claim Payment Services

First, the bottom line on employee medical benefits is claim payment service. It does not make sense to pay for an employee benefit that turns into an employee aggravation. Our claims paying accuracy continues to be among the best in the industry. For example, these are our performance standards in 2005.

• Financial accuracy 99.44%
• Payment accuracy 98.23%
• Statistical accuracy 99.91%

These figures equate with employee satisfaction, which is what you are paying for in the first place.

Experience

Second, our 20 years of experience enables us to deliver cost effective employee benefit solutions. We provide reduced cost of care through excellence in:

• Non-network fee negotiation
• Reasonable and customary review
• A superior team of health care professionals
• URAC accredited services for:
  • Utilization Management
  • Case Management
  • Health Call Center
  • Disease Management
  • A Total Quality Improvement Program, which mandates the continuous evaluation and improvement of health care outcomes

We invite you to become acquainted with us and find out first-hand how we may be a partner with you in improving your employee benefits portfolio.