Our Administrative Service Only (ASO) plans provide you with expert guidance and superior management. We can help you design and implement a customized program with a wide range of features. And, because dental is our only business, we will pay attention to the details and follow your plan specifications to the letter. When you combine our skills with current technology, the result is quality service at a reduced cost: your enrollees will receive the exact benefits to which they are entitled and you will benefit from the savings!
The small administrative charge for our services will be significantly outweighed by the reduction in dental expenses you can expect with Healthplex on your team.
If you need to provide a wide range of services for your employees but want greater control of your costs, you need Healthplex. Call us at 1-800-468-0466 or email at email@example.com so we can tell you more about our administrative services and how we can save you time and money on your dental benefit.
Healthplex identifies and tracks all controlling parameters in a dental plan including:
- Waiting periods
- Individual/family deductibles and maximums
- Reimbursement levels
- Duplication of services
- Age limitations on eligibility and procedures
- Frequency of service limitations
- Coordination of benefits
Healthplex administrative services include:
- Plan development and design
- Actuarial determinations and recommendations
- Professional review of claims
- Correspondence with providers
- Predetermination of claims
- Claims adjudication
- Coordination of benefits
- Producing and mailing Explanation of Benefits (EOB) statements and checks
- Claim history maintenance
- Utilization review by procedure, patient and/or provider
- Complete periodic utilization reports
- COBRA benefit processing
- Customer Service Department for toll-free patient inquiries
Healthplex is fully equipped to maintain your dental program on a streamlined basis that actually reduces your internal administrative costs. We provide you with the kind of management that keeps your costs in line while delivering superior service to your employees or members. And for even greater efficiency, all paper-based records are maintained on a laser-based document imaging system. While your members or employees may never know about our advanced system, they will appreciate the prompt and efficient service it enables us to provide.
Healthplex's ASO plans are completely customizable to meet the specific needs of our groups. We can create an entirely new plan or copy your existing plan right down to the finest detail. Whether a group chooses to use our panel and fees, OR use their own, Healthplex will help you achieve significant savings because dental is all we do.
Groups will be charged a low monthly fee per member per month. That monthly fee includes access to Healthplex's panel of providers and all administrative services are included. There are no hidden fees or charges when you sign up with Healthplex. If you would like more information, please contact a Sales Specialist at 1-800-468-0466, or email us at firstname.lastname@example.org
Please click here for Schedule of Benefits.