Business Solutions
Claims Administration
Medical Network provides comprehensive third party administration (TPA) and Administrative Services Only (ASO) services to self-insured clients. By leveraging information technology, Medical Network saves time by increasing the number of claims that we pay electronically. In fact, 92 percent of claims are processed within 14 calendar days with 99 percent payment accuracy. Outcomes like this help Medical Network to negotiate highly competitive discounts for our self-funded business partners.
In addition to state-of-the-art claims processing systems, we offer superior customer service and the flexibility to customize a solution to meet your unique needs. Employer clients can choose any or all of these components to manage their self-funded benefit plans:
- Claims processing
- Medical benefits administration
- Vision benefits administration
- Dental benefits administration
- COBRA and HIPAA administration
- Prescription drug programs
- Flexible spending account administration
- Health savings account administration
- Eligibility management
- Standard and custom reporting packages
We work closely with each client to fully understand your respective industry, operational issues and risk management goals. Then, in partnership with our clients, our experts construct a claims management solution that will help you achieve your goals. This value added service allows Medical Network to do more than just process your claims – we become part of your complete financial solution.
Part of helping you to achieve your financial goals is the identification and reporting of key information particular to your organization. Our information systems are flexible and allow us to capture information specific to your situation. Then, using this information, we can produce detailed, meaningful reports, analyze results and work with you to identify risk and reduce losses before they occur.
