Administration Services for Self-Funded Plans

Our third party administration (TPA) services are second to none and we excel at customer satisfaction! Here are some highlights of what we do:

  • Serve clients large and small from many industries and locations
  • Combine flexible claims administration with great service
  • Work with self-insured plans from traditional indemnity to complex managed care
  • Have the experience, expertise, technology–and the people!

 

Stop-Loss Protection

Self-funded plans can be at risk from large catastrophic claims. We work with stop-loss carriers to protect you from worst-case scenarios. And with our A-rated carriers, you can be sure of timely claim reimbursement.

Our Services Include:

  • Claims administration and payment
  • Statewide provider network
  • National network available
  • Case Management
  • Utilization management
  • Reinsurance/stop-loss administration
  • Dedicated account management
  • Benefit plan consulting
  • HSA/HRA administration
  • FSA administration
  • Pharmacy services
  • QCARE health and wellness program to help members manage their health
  • Web-based services: claim inquiry, provider directory, ID cards and eligibility verification

Want to know more? 

Give us a call or email your question. We are happy to help!

Bonnie Pruett
bonnie.pruett@qualchoice.com
Office: 501.228.7111, ext. 5501
Office: 479.442.0700, ext. 5501
Mobile: 501.626.4795