Elevating Efficiency, Delivering Excellence
Embracing Innovation in Benefit Administration
With a relentless commitment to innovation, we continuously invest in advanced technologies, dynamic methods, and skilled staffing. This approach ensures our clients and plan participants can look forward to a future rich with possibilities and advancements in benefit administration.
Ancillary Services
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Claims Cost Containment
Take a comprehensive approach to lowering claim costs and safeguarding participants from balance billing. Our solutions include claims review and editing, error identification, and expert recommendations on claim payments and trends.
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Payment Optimization
Streamline payment delivery with our fast and reliable solutions, simplifying reconciliation, reducing costs, and satisfying providers by accommodating their preferred payment methods. Accessible payment data enhances efficiency.
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Consumer-Driven Health Plan Solutions (HRA, HSA, FSA, RRA, MRP)
We empower clients to manage their consumer-driven healthcare accounts and cut expenses. Our tools assist participants in handling reimbursement accounts effectively.
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Dependent Audit - Dependent Eligibility Verification Audit
Keep health funds up to date by verifying dependent eligibility and identifying ineligible dependents. Our audit solutions result in cost savings for the client fund and its participants.
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Specialty Drug Advocacy Program
Experience effective cost management with our specialized services, including financial case management for select specialty drugs, products, and procedures. This program helps reduce costs for both clients and their participants.
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Telehealth
Empower participants with 24/7 access to healthcare for non-emergency conditions, connecting them to board-certified professionals via phone, video, or app.
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Musculoskeletal (MSK) Navigation and Advocacy
Provide personalized outreach for plan participants dealing with musculoskeletal issues, complementing our MSK Chronic Pain Management program for optimal support.
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Musculoskeletal (MSK) Chronic Pain Management
Deliver virtual chronic care for musculoskeletal pain, seamlessly connecting plan participants with providers. Combine with MSK Navigation and Advocacy for a comprehensive approach.
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Expert Medical Opinion
Ensure Trust Fund clients and plan participants receive personalized care with our concierge service, connecting them to the right experts for their specific conditions.
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Price Comparison Tool - Transparency Coverage (TinC)
Simplify healthcare spending with our user-friendly platforms, meeting Transparency in Coverage (TinC) requirements effortlessly for better control over expenditures.
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Privacy and Security Officer
Mitigate risks with our HIPAA-qualified team, assisting covered entities in meeting HIPAA responsibilities. Tailored services support health and welfare plans, ensuring HIPAA Privacy and Security compliance.
Leveraging Cutting-Edge Technologies, Innovative Methods, and Seeking Opportunities for Continuous Improvement.
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Relive the unforgettable "Piano and Pinot" 80th Anniversary Party, a memorable evening hosted by Zenith American Solutions and sponsored by partners Zelis and Intellivo.
This recap captures the highlights of a remarkable event filled with music, wine, and celebration, marking a milestone in style and elegance.