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Customer Services

We set ourselves apart from our competitors by providing daily services for our employers and their employees.

  • SUBMIT CLAIMS FOR PROCESSING - REQUEST ITEMIZED BILLS, MEDICAL RECORDS, ETC.

  • CHECK CLAIM STATUS WITH CLIENT'S MEDICAL GROUP/INSURANCE CARRIER

  • WRITE LETTERS OF APPEAL TO PHYSICIAN OR MEDICAL GROUPS

  • PRESCRIPTIONS: CONTACT PHARMACY AND/OR CARRIER WHEN PROBLEMS ARISE

  • ASSIST WITH REFERRALS FROM PRIMARY CARE PHYSICIAN TO SPECIALISTS

  • MAKE ADDRESS CHANGES, PRIMARY CARE PHYSICIAN CHANGES, AND DEPENDENT CHANGES

  • ORDER ID CARDS SEND/DELIVER APPLICATIONS, BROCHURES, PROVIDER BOOKS, ETC.

  • PREMIUM BILLING RECONCILIATION, WHICH INCLUDES CORRESPONDING WITH CARRIERS ON BEHALF OF EMPLOYER

  • EMPLOYEE MEETINGS: EXPLAIN BENEFITS; PLAN GUIDELINES; AND THE VALUE OF THE BENEFIT PACKAGE

  • NEGOTIATE CONTRACT WITH CARRIER UPON RENEWAL. THIS INCLUDES RATE NEGOTIATIONS AND BENEFITS DESIGN

  • PROVIDE ON-SITE CUSTOMER SERVICE REPRESENTATIVE TO ANSWER ANY QUESTIONS. THIS SERVICE IS PROVIDED QUARTERLY, SEMI-ANNUALLY, ETC., OR AT THE REQUEST OF THE CLIENT

  • PROVIDE ON-LINE ELIGIBILITY SERVICES THROUGH OUR HR PRODUCTS

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