About
Services
Product Solutions
Technology
Blog
Locations
Contact
MENU
Login to your account
Health and Welfare
Services
Scalable solutions and services.
Eligibility Maintenance and Billing Capabilities
Maintenance of all necessary information — personal, general, coverage and eligibility spans
Retrospective additions and terminations
Timely and accurate identification card preparation
Unlimited plan and coverage changes with complete history
Multiple levels of eligibility breakdown — by group, division, department or area
Maintenance of premium and rate data
Premium reconciliations
Tracking of commissions
Successful Managed Care Programs
Pre-admission Review Certification
Large Case Management
Built in Maternity Management programs
Demand Management
Disease Management
Nurseline
Health Information Website
Health Risk Assessments
Premium Operational Performance
Extensive system and data reporting capabilities
Broad range of statistical reports to monitor plan performance
Regular quality review testing
Data integrity commitment
On-line repricing data for numerous Preferred Provider Networks (PPOs)
Internal auditing
RDS Medicare Subsidy
Coordination of RDS reporting requirements between Zenith American, the PBM and Medicare.
HIPAA Compliance
Privacy
High tech security
834 & 837 files
Coordination with PPO Vendors & PBM's across the nation.