We're more than just an agency/broker:
- Dually-Licensed - TPA/broker with 40,000+ Michigan members insured.
- Direct Carrier Feeds with the largest carriers in Michigan.
- Direct Stop-Loss Carrier Feeds
- Full-Claims Adjudication - We process over 10,000 claims per week for our members.
- Plan Document Creation - SBC, SPD, SMMs, Sec 125, etc.
- PPACA, DOL, ERISA Compliance - action plan creation, execution, and reporting.
- COBRA - notification and premium management.
Employee Concierge services
- 24.7 Patient Advocacy - All hours, all shifts, every day. Patient, physician, hospital, insurance plan coordination and follow-thru. (Now available at healthE.me)
- Medical Bill Scrubbing - 80% of medical bills contain errors. We process 10,000+ claims per week. We screen bills for the patient, correct errors, and report back to the patient. To date, we've saved our clients $196,000,000 from a combination of corrected billing errors and premium savings through our creative funding strategies. (Now available at healthE.me)
- Provider Fee Transparency - One call, and our member patients have access to actual provider fees prior to elective procedures. For the same procedure, fees can vary 700%. We make this information available to our patients, making them better consumers. Our report includes Physician ratings, actual fees, and third-party reviews, all mapped within a 25 mile radius of the patient's referred provider. (Now available at healthE.me)
- Telemedicine - 24.7 physician availability by video or phone. 96% patient satisfaction. $0 employee copay. $0 cost for the call. (Now available at healthE.me)
Same stuff others do (we just do it better):
- On-site HR, Benefit, PPACA Compliance, work-site training
- On-line benefits administration
- On-site open enrollment meetings, claims clinics, and employee education.
- One employee application for all carriers (SmartApp)
- Turn-Key HRA admin
- Turn-Key FSA admin
- Turn-Key COBRA admin