UMR - Medical Plan Administration

In addition to personalized customer service, we have the capability and flexibility to deliver customized medical administration plans:

Medical benefits are programmed specifically to each customer’s plan.
Benefit coding automatically controls payments, tracks deductibles, out-of-pocket maximums, participation and plan maximums.
System flexibility allows us to administer all levels of fee schedules and PPO configurations, usual and customary fees, per diem rates or any combination of these elements.

We have the ability to administer three-tier benefit plan designs, customer-specific contract arrangements and to interact with Medicare as a secondary payor of Part A and B claims.

Auto-adjudication and electronic data interchanges (EDI) allow claims to be turned around quickly and limit the possibility of human error. Our systems are not only designed to accommodate flexibility in benefit plan designs and claims administration, but to allow for customer-specific functionality and self-service features.

Other Core Products

	Medical administration
	Care management
	Network administration
	Pharmacy benefits
	Stop loss
	Dental administration
	Disability and life administration
	FMLA administration
	HIPAA administration
	COBRA administration
	Consumer-driven health plans