Frequent Issues:

• Assistance with referral forms for special care • Emergency room copays • Reasonable and customary reimbursement issues • Resolution of medical expenses debts with collection agencies • Verification of coverage for medical emergencies • Resolution of provider billing as to contracted vs. market rate • Assistance in pre-certification of hospital stays • Coordination of medical, workers compensation and state DBL • Out of area claims issues • Assistance with completing claims forms • Prior plan deductible credit • coverage for non-routine services and equipment • Preauthorization for new or experimental treatments • Rx: Brand name vs. Generic drugs • Assistance with mail order continuation drug program • In-network vs. out-of-network Rx claims issues • Calendar year vs. Plan year deductible issues • Explaining medicare benefits to employees • Coordinating insurance payments with medicare payments • Assisting eligible employees in applying for medicare and supplemental coverage • Expediting dental pretreatment authorizations