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What is a TPA Client Service Leading Edge Technology Innovative Products Summary What We Do
What is a TPA?


Client Service


Leading Edge Technology


Innovative Products


Summary
  Client Service

Health Plans, Inc. believes in front line client service. That's why we employ a significantly higher number of representatives dedicated to client service than our HMO, insurance company and TPA competitors. The results: more staff to meet special client needs.

Client Participation in Benefit Issues

Recently, more than 200 of our clients joined insurance consultants and industry experts at an annual client conference hosted by Health Plans, Inc. Conferences like this one feature national experts speaking on a number of key issues and keep our clients on the leading edge of changes that affect their benefit programs. The Health Plans, Inc. client conference is an example of our firm's commitment to including clients in the benefit development process.

Individual Attention to Claims in a Team Environment

At Health Plans, Inc., claim examiners are assigned responsibility for specific clients and at the same time they serve as part of a claim team that provides mutual support and service. Additionally, a special claim audit group reviews claim processing activities to assure that benefits are paid according to highest corporate and industry standards. Our team support concept offers a high level of customer service and assures accuracy.

Cooperation with Physicians and Medical Providers

Medical cost managers agree that successful healthcare strategies demand a closer cooperation between health plan sponsors, physicians and other medical groups. To further this cooperation, Health Plans, Inc. employs a provider services group. A special team of administrative and medical experts work with the thousands of physicians, hospitals and other medical providers to assure that benefit allowances are fair and in keeping with established standards for reasonable billing practices.

Can better service actually cost less?

Heavy industry, as well as firms that employ organized labor, demand a high level of service, but cost is still a major factor. Surveys show that TPAs spend more for client-related services and so offer a higher level of service-but at an overall cost that's 40% to 60% less than traditional insurance company or Blue Cross competitors.

What is the reason for our cost advantage? We spend less for management overhead and invest heavily in system technology. Our more efficient organizational structure assures topflight service-while keeping costs down.