Third Party Administration
INDECS acts as an extension of your organization by communicating your benefit program to your membership with care and uses your management philosophies, while overseeing your plan funds, as though they were our own.
Payment of Claims
We provide timely and accurate claims payments for self-funded plans. State-of-the-art claims-processing systems allow us to auto-adjudicate most claims, while integrated processing control mechanisms minimize improper claims payments.
We are proactive in our approach to identify errors in claim processing before a check is issued. Errors that may be detected before the claims are paid include: fraud and abuse, provider coding errors, coordination of benefits, work related injuries, and third party liability. By utilizing the latest in clinical editing software, audit processes, and investigative procedures, we limit your exposure to claim overpayments that often result in costly recovery procedures. We include these services at no additional charge to prevent improper claim payments before they occur.
We believe in having people answer phones, not machines or recordings. Using the latest telephonic technology, we have created an environment where your membership will be provided prompt and courteous service by a qualified professional. Our, friendly, staff will resolve your issues expeditiously. There is no issue too big or too small.
Many of our staff have worked at INDECS for more than 10 years, some as long as 28 years. We maintain a positive work environment where our seasoned professionals can achieve their highest potential. Though INDECS hires legal U.S. residents and only contracts with U.S. vendors located within the U.S., our customer service staff is multi-lingual, enabling friendly communications in different languages.
Benefit Plan Design
We have the ability to recreate your plan design to your specifications. More importantly, we collect every bit of data generated by your healthcare program, which we then make available to you, your members and their physicians in a convenient, easy-to-understand format. With this data analysis, we empower you to make plan design decisions which enable you to control your costs and ultimately keep your membership healthier.
All of our clients have access to our HIPAA secure web portal. Here, your plan data resides for user specific access by your members, plan administrators, healthcare providers and consultants. Plan members may review benefits or view their claims.
Plan administrators have the ability to enroll members and access eligibility data. Consultants may download reports for viewing. Access permissions are programmable
to client speciﬁcations.
Our reporting packages offer hundreds of options which allow you and your consultants to gather needed information conveniently and in the format of your choice to effectively manage your health plan. Sample reports are available for your review upon request.