Claims processing and payment are the heart and soul of any benefit plan, so naturally we give it a lot of attention.  To make your plan a Premier benefit plan, however, requires some special touches, such as—

• Each group is assigned to a particular claims processor who then becomes intimately familiar with your plan of benefits and its own unique features.   A relationship between your group’s membership and our claims processor will quickly develop, and will foster a level of trust and understanding which we feel is key.
• Employees receive copies of all benefit payments, so that they know exactly what providers have been paid and when.
• Claims appeals are immediately referred to the highest level of authority in our office, assuring you that they receive our utmost and prompt attention. All pertinent information is gathered, including any relevant case law, and is sent to you for your review and consideration.

• Claim files are maintained by individual patient.  This makes for faster and more accurate information retrieval, and is of immense help when filing stop-loss insurance claims and/or conducting audits.
• We aggressively pursue all types of third-party reimbursement, including in-house subrogation recovery.  This allows for greater control over the process, with much less cost to your plan.
• Over 25% of our claims staff has earned their Associate’s degree in Life & Health Claims from the Life Office Management Association, with another 25% currently working toward achieving that designation.  They average more than 12 years of experience each in medical/dental claims processing.

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6330 East 75th Street, Suite 106, Indianapolis, IN 46250
317-849-3282 * 800-382-5220 * Fax 317-849-3436

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