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Current Client: RightCHOICE Benefit Administrators has benchmarked your expectations of our service, and we want to focus on your group’s specific needs. We accept responsibility for the quality of our service, and we keep our day-to-day commitments. We want you to be increasingly satisfied with our service. Our Account Managers contact you regularly. If you need to reach us, here is a contact sheet for your convenience. Phone and E-Mail. Prospective Client: RightCHOICE provides flexible and measurable solutions to meet each client’s unique needs. Because RightCHOICE is truly an independent or “non-captive” Third-Party Administrator (TPA), we will present for your selection a wide variety of the reinsurers, medical networks, pharmacy benefit managers, vision plans, case management providers, subrogation managers and ancillary benefit plans – so you can select the best services at the right cost considerations for your group’s specific needs. Our Account Executives average 20 years of experience in the industry. Our Account Manager for your group will focus on ensuring that you are impressed with our business integrity and quality service. All services performed for the group will be handled from our St. Louis offices. This includes enrollment meetings, customer service and claims processing. The performance of our Customer Service and Claims Processing Unit performances are continually monitored and will be regularly reported to you. Performances tracked include enrollment, customer service and claim processing. Our RightCHOICE Internet service includes enrollment, eligibility, customer service, and claim lookup for status or history, plus links to medical web sites and all vendors. RightCHOICE has access to numerous MCOs – but it is our close working relation with many of these MCOs that sets us apart from other TPAs. For example, as HealthLink’s largest third party administrator, RightCHOICE is able to receive claims electronically every night. Our Customer Service Representatives have access to HealthLink’s system. Also, our Customer Service lines are linked to HealthLink, allowing RightCHOICE and HealthLink to transfer calls without interruption to the member. RightCHOICE Benefit Administrators strives to get all claims greater than $100 discounted from full retail. RightCHOICE Benefit Administrators can custom build plan designs that fit your client’s specific needs, as detailed in your RFP. RightCHOICE Benefit Administrators will provide the industry’s best reporting and data mining package to your group. You can access plan information and generate a broad spectrum of regular reports. RightCHOICE also offers data mining, to assist you in reducing overall cost while improving quality of care. RightCHOICE Benefit Administrators has an integrated Care Management program that includes optional programs/products: Medical Case Management, Utilization Management, Disease Management, Predictive Modeling and 24 Hour Nurse Line. Most self-funded groups either have implemented Employee Assistance and Wellness Programs or are seriously considering these important initiatives. RightCHOICE offers complete EAP and Wellness programs, staffed by highly experienced health professionals, and offering a $2 to $5:$1 ROI for EAP and attractive rates for Wellness services. RightCHOICE provides clients with a complete range of EAP and Wellness programs and program options, to meet specific objectives at preferred price points. |