BENEFITS ADMINISTRATION

MCC's Benefit Plan Administration services were built on our extensive background in managed care. At MCC, the fundamentals of claims administration take on a different look. We have the experience and trained staff to show you new and exciting ways to improve your existing program. We can demonstrate to you the advantages of a truly integrated managed care system. We will be happy to prepare a proposal for you at no obligation. We're confident you'll appreciate the value we can bring to your program.

SERVICES

• Claims & bill auditing
• Medical Plan administration
• Dental plan administration
• Vision plan administration
• Plan document preparation
• Summary plan description design, preparation
• Customized plan descriptions, ID cards, and check stock
• Assist in securing stop loss and ancillary carrier/vendor
• Claims turn-around time is under 5 days
• COBRA and HIPAA Administrated
• Claims Auto Adjudicated
• Dedicated Customer Service Representatives
• Electronic Claims Submission

NETWORK AND PLAN OPTIONS

Our self-funded medical plans are deisnged to fit the needs of a specific client. We also have the experience in working with Indemnity, PPO and POS plans. Have your designated Representative, Broker, or Consultant contact us for more information.

COBRA ADMINISTRATION

Cobra for our clients means, the TPA we use takes care of everything.

1. Initial Notification
2. Provider Election Form
3. Update Eligibility
4. Send monthly status reports to all of our cobra clients.
5. Termination Notice - When coverage terminates, we issue a termination notice that identifies the reason coverage ends.
6. Keeps current with the laws and regulations by attending annual seminars and receiving cobra literature.

HIPAA

Provide Certificate of Coverage to terminated employees and/or dependents.

PHILOSOPHY

Benefit Plan administration has evolved well beyond simply the processing and payment of submitted claims. Effective cost control in today's managed care environment requires specialized software and the ongoing application of medical expertise to ensure that all submitted claims accurately represent the services performed.
An administrator must combine experience with technology- experienced individuals supported by the latest technology- to effectively manage the claims process. Where experience is valuable to the process, experience blended with technology is invaluable.
MCC's Benefit Plan Administration services were built on MCC's extensive background in managed care. At MCC, the fundamentals of claims administration take on a different look.