Solutions For:

Third Party Administration Services

Med Admin Solutions, Inc,. High Quality Managed Care Administrative and Employee Benefit Administration Services

  • Claims Adjudication and Encounter Processing
  • Capitation Processing and Management
  • Claims Re-Pricing
  • Member and Benefit Administration
  • Medical and Case Management
  • Utilization Review and Outcomes Assessments
  • Call Center and Customer Service Operations
  • Data Analysis and Reporting
  • Electronic Data Interchange
  • COBRA, Flexible Benefits and HIPAA Administration
  • Premium Billing
  • Placement of Re-Insurance

Third Party Administration Services are available through MedAdmin Solutions, Inc., an eHDL company.

MedAdmin Solutions, Inc offers comprehensive, high quality Administrative Services for Managed Care Organizations and Self Funded/Employee Benefit Organizations.

Experience The Difference!

  • Low entry cost for service – Pay as you go
  • Produce revenue opportunities for current clients
  • Business and Electronic Links between Payers and Providers
  • Real-time information that reduces risk

  • Health Maintenance Organizations (HMO’s)
  • Independent Practice Associations (IPA’s)
  • Insurers
  • Management Services Organizations (MSO’s)
  • Physician-Hospital Organization (PHO’s)
  • Self-Funded Employers

Claims Adjudication & Encounter Processing

  • Claims Adjudication and Encounter Administration for contracts in Self-Funded Employee Benefits and Managed Care settings
  • Identify and manage billing errors, unnecessary services, and disallowed charges
  • Receive and process Claims in many formats

Capitation Payment Processing & Management

  • Builds Contract Management for complex Capitation Payment models
  • Manages reimbursement arrangements and fee schedules for various Providers and Payers – Fee For Service, Withholds, Per Diems, and Case Rates

Member Eligibility & Benefit Administration

  • Maintains Membership and Benefit Information by Plan
  • Electronic, HIPAA-Compliant EDI transactions available to Providers

Placement of Reinsurance Coverage

  • Competitive Rates for Reinsurance due to strong buying power
  • Manage Reinsurance Payouts

Medical and Case Management System

  • Established Clinical Criteria administered by Nurses and Physicians

Data Analysis and Reporting

  • Capitation and Utilization Analysis
  • Member Satisfaction Reports
  • Provider Profiling
  • Network Composition Analysis – Geo-Coding
  • Outcome Reports for Benefit and Plan Analysis
  • Longitudinal Studies associated with Enrollment, Utilization, Clinical, IBNR, and financial Management

Call Center and Customer Service Operations

  • Trained Customer Service staff and management
  • State-of-the Art Customer Relations Technology

  • Provider Reimbursement Management
  • Billing and Premium Collections
  • COBRA and HIPAA Administration
  • Flex-Benefit Administration
  • Utilization Management, through Referral and Authorization Tracking

MedAdmin Solutions, Inc.
Providing Information Systems and Administrative Services


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