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    Products and Services

   Overview

The services that Health Network America  provides for its clients go well beyond that of a typical third party administrator. Moreover, we perform all of our administrative services in-house. Our comprehensive services include:

Comprehensive Health Plan Claim Administration

  • Medical (Indemnity, PPO, POS, EPO, Consumer Driven Plans).
  • Dental
  • Flexible Spending
  • Short Term Disability

Health Plan Consulting

  • Plan Design
  • Plan Document Design
  • Patient Incentive Programs
  • Contribution/Cost-Sharing Programs

Provider Network Services

  • Network Evaluation & Analysis
  • Network Development
  • Provider Contracting

Total COBRA Administration

All-Inclusive Medical Management

  • Patient Advocacy Programs
  • Pre-Certification
  • Concurrent Review
  • Discharge Planning
  • Case Management

Specialized Management Programs

  • Diabetes
  • Low Back Pain
  • Asthma
  • Cancer (Prostate, Breast, Cervical)
  • Asbestos Related Illness
  • Managed Maternity

Reinsurance Procurement and management

Discount Vision Program (Cole Managed Vision)

Emergency Medical Travel Assistance Services

HIPAA Certification Administration

HIPAA Compliance Consulting Services

Comprehensive Health Plan Data and Performance Analysis

Web-Based Employee/Employer Self Service Applications

  • Customized Client Web-Site
  • Core Benefit Enrollment Services (Life, Disability, 401K)
  • Provider Lookup, Provider Nomination and Status
  • Claim Inquiry
  • Eligibility Management (adds, deletes, updates)
  • Benefit Summaries and Summary Plan Descriptions
  • Printable Claims Forms
  • Provider Claim Submission

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246 Industrial Way West, Eatontown, New Jersey 07724
Voice: 732-676-2630    Fax: 732-676-2657
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Copyright ©1998-2008 Health Network America, Inc. All rights reserved.   
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