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Claims Administration

Claims administration services are at the core of self-funding. PBA is there every step of the way with our expertise and time tested best practices and strategies. Our team designs the plan and writes the plan document. Our ACA experts make sure that the plan is compliant with federal healthcare mandates. We create, print, and distribute ID cards and customized employee materials informing plan members about their benefits, our benefit website, mobile app suite, and other benefit resources. On an ongoing basis, we process claims and manage eligibility. Our experienced Member Advocacy team provides answers and support to plan members. Employers receive monthly report packages with detailed benefit usage which assist in effective plan benefit design and monitoring. Our team will help clients understand where their healthcare dollars are going and why. Offer suggestions to control costs while maximizing benefits. This allows our clients more time to spend on their business and less time spent on benefits administration.