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- Personalized group health and dental claims administration
- Eligibility administration and preparation of itemized monthly billing statements
- Employee enrollment assistance
- Direct contact for all employees and management with assigned claims examiners and eligibility processors
- Consistent 5 to 7 day claims turnaround time
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Online customer service, claims history and benefit information available 24/7 for all participants, employers and providers
- Flexibility to implement numerous PPO networks
- Easy and direct access to all levels of management
- Real time and retrospective eligibility verification
- Reinsurance marketing & placement - Preferred constantly monitors the industry for changes, as well as identifying new markets for our clients
- Reinsurance claim filing, tracking and reporting
- Access to various Preferred Provider Networks that provide significant discounts. Multiple networks can be implemented to ensure adequate provider access for all group locations. We have arrangements with numerous networks to enable Preferred to re-price all claims in-house. This will eliminate unnecessary processing delays.
- Coordination of Utilization Review, Medical Case Management & Cost Containment Services
- Cost Containment Services including Direct Provider Negotiations, Audit and Bill Review
- In-house Plan Document development and maintenance
- ID cards (single plastic card for both Medical and Rx Benefits) are generated in house and mailed within 3 business days of receipt of application. Customized at no additional charge.
COBRA & HIPAA Administration Services (services available for fully insured plans also!)
- Prescription Drug Card Programs - Through multiple arrangements, Preferred can offer quality service and discounts utilizing Prescription Drug Cards and Mail Order Pharmacies
- Subrogation services
- Billing and marketing services available for other ancillary products (Life, LTD, STD, etc)
- Assistance in preparation of IRS Form 5500
- No annual maintenance charges
- FSA, HRA, & HSA Administration
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