Services

The EBA&M per employee per month administration fee includes the following services:

• Claims Adjudication
• Premium Billing
• Eligibility Maintenance
• Monthly Reporting
• ID Cards and Forms
• Consolidated Billing (other coverages included on EBA&M bill)
• Fund Account Maintenance
• Account Management
• Vendor Interfacing/Coordination
• Monitoring Legislative Issues Through The Following
• TPA Associations: SPBA, HCAA
• Renewal Marketing (Re-Insurance)
• Reinsurance Claim Filing (Specific/Aggregate)
• Claims Auditing

The following services are provided at an additional cost:

• COBRA/HIPAA Administration
• Section 125 Administration
• Large Claim Negotiation
• Non-Network Negotiation
• Plan Document Preparation

The following services are coordinated by EBA&M but outsourced to other vendors:

• Plan Document
• Benefit Booklet Printing
• Utilization Review
• Case Management
• Disease Management
• Wellness Programs
• On-site Health Clinics