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Account Management

Business Solutions offers all clients a dedicated business account management team. This team specializes in solving a wide range of issues relating to your health care and employee benefits.

  • Employers and employees call us on a daily basis, locally and toll free
  • Introductory call to new customers to review, set up, forms, and administration compliance for each benefit carrier
  • Resolve medical, dental, life, and disability claim issues
  • Write appeals for denied claims
  • Assist/conduct employee educational meetings
  • Resolve billing issues/questions
  • Respond to benefit and contract questions from employers and employees – all carriers, all lines
  • Talk to pharmacist if employee is having issues obtaining medications
  • Speak with doctors/PA’s/NP’s regarding correct wording to obtain authorization through carriers
  • Liaison with Bureau of Insurance and patient advocacy groups
  • Intervene with carriers/providers to insure timely payment of death claims/disability claims
  • Interact with COBRA companies and employers to insure correct set up, initial training, and COBRA compliance
  • Medicare and Medicare Part D certification each year in order to assist employer retirees with all aspects of Medicare enrollment, supplements, Part C (Medicare Advantage Plan), and Part D (Medicare Prescription Drug Plan)
  • International Claims – Liaison between employee and international providers and carriers to obtain employee payment of claims
  • Respond to employer questions on Healthcare Reform as various aspects go into compliance – most recently: MLR’s, SBC’s, Women’s Health, ASD, etc.
  • Respond to carrier and Medicare Audits
  • Facilitate HSA’s, HRA’s and TPA’s




Senate Republicans Unveil ACA Repeal Bill

2017-06-23

The New York Times  (6/22, Pear, Kaplan, Subscription Publication) reports that on Thursday, Senate Republicans “took a major step” towards their goal of repealing and ...

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Anthem Ends Pursuit Of Cigna

2017-05-15

The Wall Street Journal  (5/12, Mathews, Kendall, Subscription Publication) reported Anthem Inc. said Friday it would give up attempts to acquire Cigna Health, which the ...

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House Passes American Health Care Act

2017-05-15

On its front page, the New York Times  (5/4, A1, Kaplan, Pear, Subscription Publication) reports that on Thursday, the House “narrowly approved” the American Health Care Act ...

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