ABS

Services

As a full-service third-party administrator, Advanced Benefit Solutions is dedicated to helping employers by providing top-quality administrative services from a staff of experienced professionals. See how our hands-on approach and cost-effective solutions can help you get the most from your benefit plan.

We offer a variety of solutions that can be tailored to the needs of your organization including:

Benefit plan consulting including analysis of existing program, design, management, and level of risk
Value-based plan designs: HSA/HRA/HDHP
Extensive network evaluation to ensure adequacy of access to entire population
COBRA/FLEX/HIPAA administration
Dental/Vision ASO
Medicare D notices and equivalency services
Assistance in preparation of applicable 1099's and DOL 5500 reporting forms at year end
Engagement in plan implementation
ID card customization and generation
Online enrollment
Dependent eligibility audits
Consolidated billing and distribution
Premium and claim payment audits
Claim adjudication: prompt turnaround, audit of large dollar claims, COB, and 98% accuracy rate
Proactive out-of-network negotiations
Appeal assistance for claim denials
Client specific reporting based on needs
Comprehensive data analytics to aid in making educated decisions
Utilization analysis and recommendation for plan design modification
Detailed evaluation to aid in maximizing cost savings while maintaining employee satisfaction
Creation of long-term strategies to perpetually stay on par with objectives
Committed liaison between broker, client, providers, and vendors

Strategic Alliances

To provide the best service to our clients, Advanced Benefit Solutions maintains strategic alliances with many industry-leading organizations including:

  • Stop Loss/Reinsurance relationships that leverage competitive rates
  • Case/Disease Management
  • Utilization Review
  • Pharmacy (PBM)
  • Subrogation recovery solutions
  • Nationwide networks
  • Nurseline
  • Wellness/Health Management
  • Telemedicine
  • Employee handbook review and production
  • Plan Doc/SPD creation
  • Perpetual compliance and regulatory adherence
  • Ancillary Care Specialty Network
  • EAP
Pharmacy