Data entered into the confidential claim management system is used to demonstrate how benefit dollars are being spent. Periodic reports allow the Plan Administrator to effectively evaluate the Plan on an ongoing basis in order to help control expenses paid. Descriptions of such reports are:
Benefit Analysis - Presents total claims submitted and total claims paid year-to-date in dollar amounts and by number of actual claims. Reductions of claims across ten cost savings categories are also shown.
Benefits by Diagnosis - Summary of claims paid above and below the specific deductible year-to-date across twenty-five different diagnosis with cost savings by category and percentages of total claims in each diagnosis. Allows the Plan Administrator to determine which illnesses are most costly to the Plan.
Benefits by Service - Summary of claims paid above and below the specific deductible year-to-date by the type of service being processed (surgery, inpatient hospital, office visits, etc...) across more than thirty different types of services. Highlights the highest service categories by percentages of total claims paid. Useful in tailoring cost savings for a particular Plan.
Benefits by Payee - Summary of claims paid year-to-date by the provider receiving the payment for the claim.
Members List and Invoicing - Details the charges for fixed cost coverage on all participants in the Plan by type of coverage.
The flexibility of our in-house designed systems allows for additional reports as needed.
Home© ACS Benefit Services, Inc. [Updated 12/01/2001]