Integra Administrative Group

Toll Free Customer Services with Dedicated Claims Auditor and Dedicated Billing Representative.
Supervision & Reconciliation of Employer/Plan Sponsor Checking Account (if applicable).
Participant Trust Oversight (if applicable).
Monthly Claims Payment Verification via Paper or Website.
Auditing and Submitting Claims for Stop-Loss Reimbursement to the Plan.
Billing of Fixed Costs Including Stop-Loss Premium, Administrative Fees, PPO Fees, Pharmacy Card, Dental/Vision, and WDI Fees.
Record Keeping & Billing of Optional Life, STD, and LTD Benefits (if elected).
Maintenance of Group Eligibility to Include Enrollments, Changes and Terminations.
HIPAA Notification to Include Verification of Credible Coverage for New Employees & Their Dependents.

COBRA Notification to Include Verification of Coverage and Preparation of Participant Monthly Coupon Payment Booklets.
Subrogation & Coordination of Accident Claims.
Administration of Pharmacy Benefits (with & without Medical Benefits).
PPO Integration with Plan Including Provider Discounts, Pre-certification of Claims, Utilization Review, and Large Case Management.
Monthly Plan Performance Reports via Paper or Website.
On-Going Consulting and Risk Management Services.
Website Services for Both Employers and Plan Participants.
Preparation of Plan Document, Plan Document Amendments & Employee Plan Benefits Booklets.
Federal and State Regulatory Compliance.
Plan Compliance with Electronic Data Interchange to Include Protected Health Information & Internet Security Requirements.