Specifications include, but are not limited to: Medical, prescription drug, vision, dental and wellness administrative services Monthly eligibility reconciliation Data reporting and predictive modeling Plan document preparation Monthly and annual claims accounting reconciliation TPA Coordination with other vendors providing administrative and insurance services Centralized billing services COBRA Administration Mental health and chemical dependency administration and management Preferred provider network access and management Nurse advice line/telephonic services Medical and case management services Disease management services Consumerism/self-service programs HR self-service utilities (online eligibility, etc…) Wellness/preventive care programs/administration
