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After gathering plan design information and a census from you, we will market your information to several carriers. We start with:
Vendor Evaluation- This is where we ask them to answer several pages of information on charges and requirements that meet your needs. We review pricing and how the renewal process evolves.
Network Comparison- We will request a Geo Access report that matches a carriers network to your employees locations. This will tell us how many people fall out of network.
Pricing Negotiations- We will negotiate pricing with each vendor. We not only consider the fixed cost, we also consider the discounts that are on the back end of the claims. This gives you a true picture of the overall cost of your program.
We also analyze:
Enrollment Support- How will the carrier help us enroll to all locations? How many service individuals will be allowed for support?
Customer Service- Will we be given one individual to help us answer questions and help with billing and tough claims? How many other accounts do they have to work on?
Reporting- What type of reports do we receive? Are there charges for other reports we may need? How quickly do we get these reports?
Service Guarantees- If claims are not paid in so many days, we may be able to receive a discount on our fixed cost.
Rate Guarantee- In an effort to eliminate negotiating with the carriers year after year, we try to get rates locked into place for an extended period of time.
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