Benefits Claims Administration

 Dedicated to providing top tier claims administration. We're here to help in all areas of your benefits plan. 
 

Benefits & Claims Administration

 

As a third-party administrator, SISCO is dedicated to providing top-notch claims administration for all major areas of your benefit plans.

 

Claims Administration:

 

 

Major Medical Plan

 

SISCO provides comprehensive claims administration for a variety of major medical health plans including:

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Self-Funded Medical Plans

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Fully-Insured Major Medical

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Community Based Health Plans

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Accountable Care Organizations

 

Limited Medical

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Reimbursement
Accounts

 

Flexible Spending Accounts (FSAs) and Health Reimbursement Accounts (HRAs) provide employees the opportunity to spend pre-tax dollars on known expenditures such as medical, dental, and dependent care. SISCO's FSA services include:

  • Reimbursement services for multiple accounts with one low monthly fee
  • No implementation or renewal fees
  • “Auto-Rollover” – automatically files unreimbursed health plan expenses
  • Weekly FSA reimbursements to coincide with the release of checks or EOBs
  • Direct Deposit and Grace Period Extension with no annual or renewal fees
  • Coordinated reimbursement across multiple accounts

 

Ancillary Benefits

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Ancillary Benefits

 

SISCO has over 20 years of experience with ancillary benefits for both self-funded and fully-insured plans.

 

Ancillary benefits we currently serve include:

 

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Dental

 

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Vision

 

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Disability

 

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Illness

 

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Accident

 

 

Electronic Claims Payment

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Electronic Claims Payment

 

To better serve our partners, SISCO has partnered with Pay Plus Solutions (or PPS), an electronic payment and remittance program for the receipt of payment and remittance data that allow for the highest compatibility with most accounting systems. 

 

Benefits of electronic payments and EOB’s:

  • Fully secure and HIPAA compliant systems and software
  • All payments are deposited directly into Provider accounts by UMB Bank, an FDIC insured depository
  • Providers receive payment faster – studies how payments are processed up to ten days faster
  • No checks are sent through the postal system where they can be lost or stolen

 

 

  • Providers can import payment data into their accounting systems for more accurate posting 
  • Fewer checks being cleared can mean lower bank fees
  • Costs associated with handling paper, printing and postage are eliminated or reduced
  • Payment data is available for download in multiple formats (835, PDF, CSV, XML)

PPS offers providers the choice of three options for receiving electronic payments, two of which post payments via MasterCard and one through Pay-Plus Solutions’ private network. Until fully mandated by the PPACA, providers will have the option to “opt-out” of electronic payment and receive paper checks. For more information about PPS, please visit their website at www.ppsonline.com.  

 

 

 

 

 

BCC Technology Solutions

 

BCC is a sister-company to SISCO and offers innovative technology to deliver powerful benefits administration solutions for employers and brokers. Fully-integrated with SISCO’s services, you benefit from having your benefits services all under one roof.

 

See BCC's Solutions →

 

 

BCC Technology