What we do
For Clients
Depending on the specific needs of our clients - including private health insurance companies, insurance brokers representing other insurers, government entities, self-funded groups, and reinsurance/stop-loss carriers - our dedicated staff will:
- ensure quality and cost-effective care by understanding the client’s product offerings and various options, as well as any implications in how the coverage is to be applied and treatment authorized
- offer, as required, a network of providers for every service, anywhere in the world; that enables cashless service and negotiated discount rates for containment of costs
- estimate and monitor expected total costs and apply medical management cost containment strategies, from referral to end of care. This means our clients can set accurate funding reserves
- ensure that all bills are thoroughly reviewed and analyzed to prevent errors, paid within the terms of the policy and within the accepted rates against the negotiated discount
- ensure total transparency of activities, with client access to “real time” case notes and reports
- ensure the client’s members receive live answer assistance and service that is helpful, efficient, comprehensive, and empathetic throughout the entire medical episode
- provide recommendations for product offerings and policy language to insure competitive viability in the market
