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Administrative Services
Medical, Dental, and Vision
Claims Administration
Prairie States' prompt and accurate processing
allows us to guarantee a 100% turnaround of clean claims in 10
working days!
Medical Claims Audit
Prairie States employs the Eldorado
on-line claims processing system, the most recognized program in use
today.
Flexible
Spending
Accounts with Autoflex
Prairie States automatically issues FLEX checks for healthcare claims
amounts not covered, such as deductibles. Prairie States provides
confirmation statements, forfeiture reporting, salary deduction data, and
reimbursement checks for employees.
Short & Long Term
Disability
We maintain careful tracking of every disability case, advising you
monthly on the status of all cases. Short term programs are administered
in conjunction with the self-funded plan and long-term programs can be
either fully insured or self-funded.
Claims Cost
Management-Subrogation/COB
Prairie States' proactive intervention has meant
a proven record of
subrogation savings, ranging from 3%-6% of paid claims far superior to the
industry average of 1%-2%! We are
actively involved at the very front
end of
the claims adjunction process which enables clients to either fully or
partially avoid losses through preemptive loss transfer techniques.
COBRA & HIPAA
Prairie States' popular COBRA & HIPAA
program is entirely automated and continuously updated for legislative
changes. Turnkey administration includes:
- Notices sent in compliance
with regulations
- Premium billing
- Monthly reporting
- Timely performance
Stop Loss Coverage
Prairie States' recognized excellent managed
care abilities have meant competitive rates and premium discounts and even
fee rebates by stop loss coverage providers, savings which
are automatically passed on to you.
On-line Computer System
Access
Prairie States customers may enjoy the advantages
of on-line access to their employee benefit plan files. Customers may
update eligibility, check the status of claims, request reports and other
functions.
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