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| Medical administration
Delivering quality
medical plan administration that saves you money
Medical administration is the cornerstone of what we do at UMR. Our claim payment systems are designed to provide consistent administration for a wide variety of medical plans and pricing arrangements. We also offer superior provider network access and cost containment initiatives. Claim processing and customer service are handled
by knowledgeable, courteous and confident staff members who are thoroughly
trained on the benefit plans they administer. We meet the highest standards for
prompt, accurate and efficient claims service as evidenced by our turnaround
time, financial and procedural accuracy performance measurements, which all
exceed industry averages.
In addition to personalized customer service, we
have the capability and flexibility to deliver customized medical administration
plans:
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.
And to help you better manage your plan, UMR offers
you complete data integration and detail online as well as superior norm and
benchmark capabilities. We’ll help you identify, diagnose and solve
specific problems and monitor and evaluate those solutions. Our tools can track
and forecast health care costs, evaluate the effectiveness of your plan and
monitor the impact of wellness programs and care management.
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