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THIRD PARTY BENEFITS ADMINISTRATION

Services include:

  • Claims Administration
    • Integrated Claims Software FACTS SERVICES
    • Provider Fee Schedules
    • Provider Network Participation
    • Claim Edit System
    • Subrogation
    • Captiva (ADP) Reasonable & Customary Profiles
    • Ingenix Claim Edit System (CES)
  • Eligibility & Enrollment Services
  • COBRA/HIPAA Management
  • Section 125/FSA Administration
  • Health Reimbursement Arrangements
  • Network Access Integration
  • Pharmacy Benefits Management Integration
  • Plan Document and SPD Preparation

 

 

 

 

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advocacy and case management | health screenings programs | third party benefits administration | plan performance reporting
25 Shaker Road • P.O. Box 1959 • Gray, Maine 04039 • TEL (800) 290-8559 • FAX (207) 657-7744