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We can process the monthly premium billing and remittance to the proper carriers, PPOs, and any miscellaneous service vendor(s). All the billing information is then consolidated into customized monthly reports for the employer.

Consolidated Billing Administration

This service is for fully insured plans for medical, dental and vision plans. Our system determines the amount allowed, the patients responsibility, discounted amount and the date payment was made. An Explanation of Benefits (EOB) and remittance advice are created and sent out to the employee and provider immediately following full adjudication of the claim.

Full Claims Payment Adjudication

We eliminate the burden by completing the compliance services designed for each employer. This includes for COBRA, collecting premiums from the employee, offer customer services on enrollment and claim payments, as well as monitoring and reporting to employers. For HIPAA, signed acknowledgements, as well as ensure proper authorizations to release private health information and provide monitoring reports for the employer.

COBRA and HIPAA

In addition to direct PPO contracts, we also are partnered with Medical Resource Hospital Alliance. This partnership provides a nationwide network that provides treatment review and expedited processing of claims that may happen out of your employees area.

PPO and Managed Care Networks

To improve quality and reduce the cost of the cardiovascular services, we have created the Medical Resource Cardiovascular Network. This network includes up to 40 cardiovascular centers, that have the highest success rate on heart procedures in the United States. When utilized there is a managed care nurse that coordinates your care free of charge.

Cardiovascular Care Networks

To ensure proper care is provided to our employees, we provide provider offices with precertification and eligibility status, so that the employee receives their intended care on schedule.

Precertification and Eligibility Status Support

To make sure an employee’s referral goes through quickly for proper care, we provide authorizations on covered services for referrals to provider offices, when needed.

Referral Authorizations

In addition to In-Network Pricing, we are flexible enough to provide Out-of-Network pricing to make payment directly to the provider and make sure you receive an Explanation of Benefits, so that you are aware what your out of pocket expense would be.

Out of Network Re-Pricing (UCR Pricing)

Please contact Integrity Administrators, Inc. to find out the most current process of this program with our PPO network providers.  

Psychiatric Substance Abuse Programs

Please contact Integrity Administrators, Inc. to find out the most current process of this program with our PPO network providers.

Maternity and Newborn Programs

We stand by the numerous studies on effective Health and Wellness Programs.  In previous studies it has been discovered that medical costs are lower when providing wellness advocacy programs in the workplace. Wellness programs we stand by are encouraging physical fitness through gym memberships, regular exercise, nutritional coaching, weight loss programs, Smoking cessation courses, On-site health screenings and flu shots, Health newsletters and online resources of healthy living promotions and more.

Health and Wellness Programs (Includes Health Newsletter)

Phone 800.562.9383    Fax 916.921.3383

Integrity Administrators, Inc.

 

EXCELLENCE IN THIRD PARTY ADMINISTRATION

Contact Integrity Administrators, Inc. to find out more information at 1.800.562.9383 or use the Contact Us tab.

 

 

Contact Integrity Administrators, Inc. to find out more information at 1.800.562.9383 or use the Contact Us tab.

 

 

Contact Integrity Administrators, Inc. to find out more information at 1.800.562.9383 or use the Contact Us tab.

 

 

Contact Integrity Administrators, Inc. to find out more information at 1.800.562.9383 or use the Contact Us tab.

 

 

Contact Integrity Administrators, Inc. to find out more information at 1.800.562.9383 or use the Contact Us tab.