Additional Services

By: HealthSmart  11/22/2011
Keywords: Management Services, Managed Care, Case Management

Even more products are available to meet the needs of your employees who elect additional benefit options:

  • Flexible Spending Accounts for Health Care and Dependent Care Reimbursement

  • Utilization and Case Management Services

  • Short Term Disability Claims Administration

  • Concession Telephone Service Reimbursement Administration

  • Managed Care Alternatives

  • Health Reimbursement Account (HRA) Administration

  • High Deductible Health Plan Administration

  • Health Savings Account (HSA) Options

    • Keywords: Case Management, Managed Care, Management Services

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    Other products and services from HealthSmart

    11/22/2011

    Self-Funded Benefit Plan Claims Administration

    Most self-funded plans are subject to federal laws, including the Health Insurance Portability and Accountability Act, and the Employee Retirement Income Security Act. The employer’s liability is limited by a reinsurance company, who will reimburse claims that exceed a pre-set limit. There is no insurance company involved. The employer assumes the claims risk.

    11/22/2011

    Accountable Integrated Medical Management (AIMM

    AIMM is a comprehensive, yet affordable, medical and risk management software tool we use to. Enhance the ability to contain and reduce rising employer benefit plan costs. This tool also incorporates every aspect of patient care. Enable benefit plan design and provider network analyses. Highlight and track “quality of care” initiatives.

    11/22/2011

    Our Services

    Our professionals work with you to analyze your plans, identify your needs, and design an effective and efficient employee benefit program that satisfies those needs within your budget. Wells Fargo Third Party Administrators is dedicated to providing outstanding products and services. We offer a variety of administrative and cost management services including.

    11/22/2011

    Cost Management Programs

    A group of dedicated nursing professionals provides pre-certification, concurrent review, discharge planning, and case management services for customers wishing to monitor the inpatient, outpatient, or diagnostic utilization of their plan. Managed care alternatives are provided to our customers by bringing together leading network resources and continually assessing appropriateness of the networks to match the specific needs of employers.

    11/22/2011

    Support Products

    Our interface with PPO and managed care networks provide both current employee eligibility, as well as current reflection of the providers participating in the network for optimal utilization of discounting arrangements. Our COBRA administration notifies qualified beneficiaries of continuation of coverage rights, election forms, termination notices, premium bills, and collection.