HealthPlan Services

About HealthPlan Services

HealthPlan Services (HPS) is the nation's largest private benefit outsourcing solution for fully insured payors focused on small businesses, companies offering voluntary benefits and the individual marketplace.

HPS provides administration and distribution services for insurance companies focused in the accident and healthcare segments. HPS' services are specifically designed to meet the needs of payors insuring individuals and small businesses. Offering products such as: health insurance (PPO, HMO, Indemnity, consumer driven), Dental, Life Insurance; Disability, Limited Medical, Cancer, Critical Illness, Accident; Long Term Care and Ancillary products.

For more information about HealthPlan Services, visit the site: www.healthplan.com

Services

The spectrum of our services ranges from wholesale turnkey sales support for agents including quoting and plan illustrating and sales collateral to rating, underwriting, enrollment, eligibility, case administration, claims administration, customer service, commission payment, agent licensing, cash reconciliation, billing and billing customization. The majority of our services are web-enabled, allowing agents, employers and employees to administer plans online, and track the progress of outstanding claims easily and instantly.

Technology

HealthPlan Services is committed to continually improving processes and those of our customers through technology that creates and inspires further growth. Advances in key operational areas include:

  • IVR (Interactive Voice Response) technology implementation
  • Automated web self-service access to claim status, billing and eligibility maintenance
  • Web-enabled transaction processing
  • Online quoting for new business and renewals
  • Online enrollment
  • Platypus®, an internally developed and proprietary software program with the ability to consolidate and aggregate insurance products from multiple carriers for single quoting and single bills.

Products

As a business process outsourcing partner, HealthPlan Services offers comprehensive administration services for agents and employer groups. HPS capabilities include billing, claims, customer service and general administrative functions. In addition, their list of administered products includes:

  • Traditional Medical Plans
  • HMO's and other Managed Care Plans
  • PPO Plans
  • Short Term Medical Plans
  • Individual Plans for Adults and Children
  • Short and Long term Disability Plans
  • Major Medical Health Reimbursement Accounts
  • Health Savings Accounts
  • Flexible Spending Accounts
  • Life Plans
  • Dental Plans, Traditional and PPO
  • Section 125 Cafeteria Plans
  • Critical Illness Insurance
  • Medicare Supplement
  • Long Term Care Coverage
  • Ancillary

Client List

HPS administers over One Million members through small business owners, sole proprietors and individuals. HPS' core customer base includes many of the largest companies insuring the small business and individual market place.


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