Since 1981, Insurance Design Administrators (IDA) has specialized in such services on a self-funded basis. Flexibility is emphasized. Attention to detail is standard. Provision of meaningful benefits is the goal; delivery of integrated benefits is the result. Options abound.
Serving your health plan is a particularly talented staff. IDA’s executives serve as trusted advisors to the industry, serving on steering committees of reinsurers, Pharmaceutical Benefit Managers and national allied vendors. IDA has spoken before federal regulators and state legislators on behalf of the industry. Our clients are the beneficiaries of this motivation and vision.
Benefit Plans
- Indemnity, HMO, POS, PPO , and hybrid designs available
- Dental, Vision, Prescription plans on an integrated or carved out basis
- Health Reimbursement Accounts (HRAs), Health Savings Accounts (HSAs); Flex Plan Administration
- Alternative Provider networks and discount card arrangements
- Out of area coverage
- COBRA, HIPAA administration
Services
- Affiliation and access to regional and national provider networks
- Claims repricing services for all out-of-network claims
- Premium, vendor and COBRA billing services and reconciliation
- Internet claims access
- 24 hours a day, 365 days a year enrollment verification
- Reinsurance coverage consulting, placement and processing
- Medical necessity review and consultations
- Plan document review and preparation
- Subrogation services
- Appeal coordination and handling
Consulting
- Benefit design consulting
- HIPAA compliance consulting and audits
- Reinsurance review and audits
- HR compliance audits