At
Integrity Administrators we provide the following services and more...
Complete
Premium Billing and Claims Eligibility:
We handle
all of the premium remittances to your insurance carriers, Preferred
Provider Organizations, and Managed Care Contractors.
Complete
Claims Adjudication:
Our
claims payment procedures are as stringent as those applied
to a fully insured medical or dental plan. Our claims examiners process
an individual's claim in strict accordance with your Plan Document.
Benefit
Cost Analysis and Plan Design:
If requested,
we can provide you with:
Projected
cost of adding a new benefit
Periodic
cost analysis, including cost projections for future periods and
estimates of outstanding claim liabilities
Advice
with respect to plan design including new benefit trends and governmental
requirements
Administrative
and Claim Forms:
All
normal administrative enrollment forms and claim forms, as well as instructions
for their use, will be provided by Integrity Administrators. These
materials are of a style and quality comparable to those routinely
used by fully insured plans.
Plan
Document Preparation:
If requested,
Integrity Administrators will draft and print your Plan Document.
This cost can be included as part of the initial set-up fee, or it
can be billed as a separate charge. Such a charge would reflect the
actual costs incurred by Integrity Administrators.
Complete
COBRA:
Integrity
Administrators can also assume the administrative responsibilities
of your COBRA members. There have been many court cases over the years
pertaining to COBRA. Solid administrative procedures and thorough
record keeping can help ensure compliance with COBRA and avoid costly
lawsuits or governmental fines.