Benefits are wages and wages are benefits. These are
the group services that set BeneFax apart from other
insurance agencies.“MAP” – Management Assistance Program – BeneFax
ASSISTS Employers With
- Research of modifications that positively impact
benefit designs & Premiums
- Developing Renewal Strategies
- Negotiating Renewal Strategies
- Contracting Financial Arrangements
- Reporting on Financial Performance
- Providing Detailed Claims Analysis
- Providing Large Claims Analysis
- Providing updates on legislative compliance issues
“CAP”–Claims Assistance Program–BENEFAX ASSISTS Employers & Employees With
- Benefit questions
- Contractual terms and provisions
- Intervention with providers on billings or
procedural coding errors
- Request for claims reprocessing
- Appeals
BeneFax Has Comprehensive Customer Support For:
- Company bargaining issues, budget constraints and
multiple plan designs
- LEOFF I’s RCW 41.18 and 41.26 Expertise
- Coordination of Benefits
- Billings/Eligibility
- LGIC Retiree Pool
- Statewide LEOFF Health & Welfare Trust
- Medicare assistance in coordination of benefits
- Intervention in Federal HCFA Audits
- Appeals and Reviews
Online Benefits Assistance
- Services online
- Individual email access
- Group specific benefit summary
- Links to: Provider Networks and Carrier Web Pages
- Legislative updates Online Newsletter
Member Relations
FOCUS: Employee Education
- Enrollment Meetings
- Employee Committee Meetings
- Individual Employee Education and On-site
Availability
Group Relations
- Assist with Renewal Process
- Request benefit modifications
- Carrier Request for Proposals
- Review contracts and benefit booklets for accuracy
and completeness
Special Projects
- Research and Reporting as requested at the Group
level; Committee level; and individual employee level.
- Specialized report review to identify trends and
recommend benefit modifications based on utilization.
(Detailed claims; procedure categories; diagnosis
categories; prescription utilization; demographics)
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