Services
Service Offerings
With a strong emphasis and contined commitment in Cost Containment, we have invested in a staff of 60 Utilization Management Professionals, 30 of which are nurses. Our Cost Containment is a Core Competency of HealthComp.  
 

Cost Containment Services

  • Medical, Dental, Vision and Prescription Claims Administration
  • Eligibility
  • COBRA & HIPAA Administration
  • Auditing
  • Bank Account Maintenance & Reconciliation
  • Consolidating Billing
  • Consumer Directed Health Plan (CDHP) Administration
  • Coordination of Benefits
  • Identification Card Generation
  • Customized Reporting
  • Stop-Loss, PPO & PBM Placement
  • Dependent Eligibility Audit
  • On-Site Employee Meetings

Benefits 

  • Subrogation
  • Bill Review
  • Price Negotiation
  • Fraud & Abuse Unit
  • Dialysis Claims Management

Compliance

  • 5500 filing
  • Plan Amendment Preparation
  • Plan Analysis
  • Plan Document Review & Preparation
  • Regulatory Notifications
  • Summary Plan Document (SPD) Formatting & Printing
  • ERISA Attorney
    • Appeal Review
    • Legal Filings

Utilization Management

  • Utilization Review & Precertification
  • Large Case Management
  • Care Advocate Program
  • Cancer Awareness Program
  • ER Solutions Program
  • Wellness (Prevention & Disease) Management with Health Risk Assessments
  • Mommies 2-B Program
  • Prescription Management
    • Pharmacy Management Program
    • Specialty Injectables Program

Section 125 Plan Administration

  • Health Reimbursement Accounts
  • Health Savings Accounts
  • Automatic Claim Import
  • Debit Card
  • Direct Deposit
  • Educational Assistance Reimbursement Program
  • Transportation Fringe Benefits

Online Services

  • HCOnline Eligibility, Benefits, Claims, Claim Inquiry, Electronic FSA Claim submission, Electronic ID Cards and EOB's
  • HCOnline Mobile application
  • HCProvider - Online Provider Access for eligibility, benefits, and claims status
  • HCReporting - Online Reporting for Clients & Brokers
  • HCFlex & HRA Benefits for Clients, Brokers, and Participants
  • HC Secure email for Clients & Brokers
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