Discover What We Do
and How We Do It
At Comprehensive Healthcare, we understand the challenges that businesses face in managing healthcare administration. That's why we've developed the NOVUS360 Platform—a cutting-edge solution designed to optimize operations, provide valuable insights through data, and enhance digital engagement. This not only saves time but also drives increased satisfaction among your members.
Key Components
Core Healthcare Benefits Administration encompasses a range of services designed to manage and optimize employee health insurance programs. These services are typically provided by Third-Party Administrators (TPAs) or specialized companies to help employers control costs while offering competitive benefits packages.
Plan Administration:
We take care of the administrative tasks, so you can focus on what matters most—your employees. Our TPA services include:
- ID Card Production
- Benefit Book Creation & Maintenance
- Claims Processing
- Eligibility Management
- Billing & Payment Processing
Health Services:
Our integrated health services support both employees and employers to stay healthy and informed. Services include:
- Utilization Review
- Case Management
- Disease Management
- Wellness Programs
- Pre-certification for Medical Services
- Hospital Bill Audits
Technology Integration:
We utilize the latest technology to make benefit administration more efficient and accessible:
- Auto-adjudication Claim Systems
- Electronic Data Exchange
- User-Friendly Portals for Employers and Employees
Advantages
By leveraging these core healthcare benefits administration services, employers can streamline their benefits management, potentially reduce costs, and provide more effective healthcare options for their employees.
Cost Control:
Our platform helps businesses reduce healthcare costs through:
- Effective Plan Design and Administration
- Reference-Based Pricing Strategies
- Large Case Management for Catastrophic Claims
Customization:
We understand every company has different needs. That's why we offer:
- Tailored Programs to fit various employer and employee group needs.
Compliance:
Stay ahead of regulations with our compliance services, including:
- HIPAA notifications
- COBRA administration
- Assistance with form 5500 processing
Comprehensive Support:
Many providers offer dedicated service representatives and concierge-level support for both employers and employees.
Why Choose NOVUS360?
Why Choose NOVUS360?
By leveraging the power of NOVUS360 Core Healthcare Benefits Administration, you'll streamline your benefits management, reduce costs, and offer more effective healthcare options for your employees—all while staying compliant and supported by a dedicated team.