Claims Management

The Consociate EDGE

YOUR EDGE IN TODAY’S WORLD OF EMPLOYEE BENEFITS

EMPLOYERS improve employees’ health and productivity and reduce related costs.

EMPLOYEES enjoy personalized wellness and claim service tools and resources.

BROKERS are armed with the information they need to meet the needs of their clients.

PROVIDERS have access to do their jobs seamlessly and for timely reimbursement.

HIGH-QUALITY BENEFIT SOLUTIONS FOR YOU

Our custom solutions include the highest-quality healthcare plan development, claims processing and management, and wellness management services – all backed up by personal customer support and easy access to valuable benefit information and support. No matter what your needs, we have a plan for you.

B E N E F I T E D G E

PROVIDING EASY ACCESS TO INFORMATION

An integrated portal, myconsociate, gives employers, employees and brokers easy access to valuable information, resources and reports.

Welcome to myconsociate! Whether you’re an employer, employee or a broker, our secure claim and wellness portal, myconsociate, gives you access to the information, resources, and reports you need, when you want them – 24/7. Managing employee benefits and health and the overall cost of healthcare has never been so easy.

Employers
Better Understand,
Predict and Lower Costs
Employees
Improve Health,
Reduce Related Costs
Brokers
Deliver Results,
Ensure Satisfaction

Click here for online tools

H E A L T H E D G E

MEDICAL MANAGEMENT SOLUTIONS

Welcome to HealthEdge! Keeping your employee population at its healthiest is a win-win for all. With HealthEdge, we provide wellness tools and resources for your entire employee base. Powered by advanced data analytic tools, HealthEdge enables you to help employees manage their overall health, evaluate and manage risk, and assess healthcare program quality and costs – all to afford the highest quality benefit plan while minding the bottom-line impact of healthcare.

 

Current Healthcare Industry News

Current Health and Wellness News

C L A I M S E D G E

TOTAL CLAIMS MANAGEMENT SOLUTIONS

Manage risk and save money – prevent fraud, help limit medical benefit costs, and protect the safety of employees and their dependents.

CLAIMS PROCESSING

ACCURATE AND EFFICIENT

  • Electronic processing of claims for accuracy
  • Accuracy rate of 99% in claims processing in 2011
  • Average turnaround time of 9 days
  • Live people to answer claim lines; no voicemail
  • Audits exceed industry standard year after year

ELIGIBILITY DETERMINATION

KNOWLEDGEABLE AND FLEXIBLE

  • Personalized service; your account will have a single designated representative
  • Convenient submission of information by phone, fax, or myconsociate portal
  • Efficient, flexible billing system

CUSTOMER SERVICE

PERSONAL AND CONVENIENT

  • Experienced, live representatives connected to you within 90 seconds (average)
  • Latest technology helps us help you
  • Handle an average of 10,000 – 12,000 calls per month
  • Translation service available

WORK TOGETHER

MEET AND EXCEED EXPECTATIONS

  • Primary contact and integrated team assigned to you
  • Specialized personnel assist with new plan selection, preparation, and set-up
  • Same team serves as the liaison between you and brokers, carriers and all partners
  • Manage self-funded bids to select stop loss carriers
  • Readily available for onsite employee meetings and enrollments