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This month.... With the summer vacation months approaching it is a good idea to check your health insurance plan to determine how to use health services at your vacation spot. If you are not sure what the benefits are when you travel, call your member services department. Their telephone number is located on the back of your insurance card. |
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Advisory Board:
Links Section
CEO:
Mary Shaub, MHS
:
Betty Addison, MS
Donna Sherwin, CPA
Bruce Grossinger, DO
Walter Tsou, MD MPH
Hope Shaub
Leo Daniel Haley, M.B.A.
Employer Services
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Patients First, Please for employers and their employees can best be classified as a WIN-WIN Strategy. It provides a cost savings to the employer at a time when health plan premiums are escalating. It empowers the employee to gain control of their healthcare as educated consumers. Our team of professionals have been providing health care advocacy services for over twenty years. Let us bring our quality to you, we are only a toll-free phone call away.
EMPLOYER ADVOCATE BENEFITS complement your busy human resource department. Our experts provide a confidential service that sends a message of value to the employee and employer. Our benefits include:
- Reduce health plan benefit administrative cost up to 66%.
- Quarterly Performance Alerts informs your benefits area of emerging issues that could negatively impact the performance of your health benefit program. Errors that effect the consumer such as inaccurate member service information regarding coverage, regional network access, utilization review denials, systematic eligibility errors, consistent claims adjudication problems.
- Quarterly Utilization Analysiswill help you in negotiating with your health plan representative. It will quanitify the employee usage by categorical and demographical breakdowns. It will provide systemic analysis for access and claim issues as well as the effectiveness of the health plan grievance and appeal process.
- Program Satisfaction is an integral part of our pledge to provide you with superior service. We randomly interview 10 - 25% of customers to insure we are addressing your needs.
WHAT THE EMPLOYEE GETS
- Empower the consumer to advocate in their dealings with health plans and provider’s offices;
- Problem resolution with claims, eligibility, and provider network problems to insure continuity of care;
- Financial arbitration with multiple parties such as hospitals, doctors, health plans, billing companies, collection agencies and other medical provides to resolve billing disputes;
- Educate the consumer about their benefit plans and the appropriate ways to access their benefits;
- Coaching the consumer to have a more effective doctor-patient relationship with productive office visits;
- Referral to alternative care network of providers;
- Support the consumer with referrals to additional resources to assist them in obtaining quality medical care.
For a confidential free consultation, email us by using the contact box on the home page or the "write us" icon at the bottom of this page OR telephone us at 888-244-4090.
