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Aug 27, 2008

 
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Administration

  • Enrollment
  • Claims Processing
  • Data Management and Education
  • Outcome Measures and Data Analysis
  • Benefit Design

Medical Risk Management-The medical staff at NSC (RNs and contracted physicians) work to manage the following medical services:

  • Pre-certification
  • Concurrent review
  • Large case management
  • Authorization process
  • Coordinated home care
  • Discharge planning
  • Drug utilization management
  • Out-of-area care coordination

Other Services

  • Network Contracting and Managment
  • Fee Schedule Development
  • Actuarial Services-NSC contracts for actuarial services for at-risk entities.
  • NSC currently uses Milliman and Robertson, a nationally-known managed care actuarial firm.
  • Stop-Loss
  • Marketing and Sales
  • Transplant Network
  • Pharmacy Management-NSC can work with any pharmacy
  • Benefit Manager
  • COMPAS Customer Oriented Multiple Product Administration System
    A single customer can have multiple insurance coverages with multiple carriers
    • Packages are bundled and processed together
    • Customer receives one bill, with one payroll deduction
    • Offered to employers of corporate America
  • ADVANTA (AMISYS)
    State-of-the-art managed care administration
  • INTELEPAK INTEGRATED BENEFITS TECHNOLOGY
    • InteleRol Telephonic Enrollment is a paperless system which captures employee enrollment and change information in health, dental, vision, life, disability, flex, and 401 (k) plans year-round. This streamlined system may interface with payroll and HRIS systems supplying accurate data during and beyond the enrollment period.
    • InteleRol to automate and simify all benefit plan invoices for accurate payment while interfacing with payroll and HRIS. Premium Management and COBRA Administration are additional options.
    • InteleServ Member Services act as an extension of your benefits department to free you from tedious and time-consuming investigations of benefits issues and appeals. Our courteous and prompt service representatives encourage your employees to become more informed health care consumers by helping them achieve problem-resolution.

When analyzing and designing a business solution for our customers, the NSC service areas work in unison to create a cohesive plan. The Implementors are integral in providing program designs and technology to lock together all the various components of the plan so that the customer's objectives are met, effectively, efficiently, and professionally.

  

When analyzing and designing business solutions, NSC creates a cohesive plan.