Stop Loss
Self-funding of employee benefit plans has risen over the past 10 years. Due to the frequency and severity of large catastrophic insurance claims rising year after year, medical Stop Loss insurance has become an essential consideration for self-funded employers. Stop Loss insurance provides protection against fluctuating and large claims that can lead to financial losses.
Advanced Payment Review
Payment Integrity is an important component in the claims payment process ensuring that claims are paid accurately without error or overpayment. APR drives cost avoidance/cost savings through an end-to-end Payment Integrity program. It strengthens prepayment capabilities and incorporates advanced technology for better claim identification and selection for review.
Not all services are available in every state. Please Contact Us to learn more.