Services

CBS offers a wide range of services to our clients.
The future of Health Benefits is Now.

Claims & Customer Service Team Management

Claims and Customer Service Team Management

We assign a dedicated claim and customer service team to your account to ensure the highest performance standards are achieved. Plan Participants will develop a personal relationship with their service team.

Our claims processors are trained and experienced in medical, dental, flexible spending accounts, and short-term disability. Our processors are compensated on quality, not quantity of claims paid.

COBRA/HIPAA Administration

COBRA/HIPAA Administration

CBS has qualified staff onsite that execute the COBRA and HIPAA administration. Our staff takes the extra time to inform, advise, and educate the plan participant of their COBRA rights.

Our COBRA system is updated on a real-time basis to ensure compliance with Department of Labor and Internal Revenue Service regulations.

CBS does not require our clients to have a medical or dental business relationship in order to administrate COBRA/HIPAA.

Consumer Driven Health Plans

Consumer Driven Health Plans

CBS offers health plans that combine patient financial incentives with decision support tools empowering plan participants to achieve a higher value in health care encounters. By changing plan participant behavior through education, choices, and control you can achieve quality and appropriate, cost-effective healthcare.

Disease Management

Disease Management

Management is a program that CBS offers to plan participants with specific chronic disease. Our program assigns a staff nurse to monitor and guide the plan participant in managing their disease. In addition, there are incentives that make it more affordable to provide better healthcare, which in turn will reduce long-term disease complications and the associated cost.

Eligibility Administration

Eligibility Administration 

As a client you will be assigned a dedicated Eligibility Specialist to your account. You will be able to submit enrollment information and updates electronically via our website.

Flexible Benefit Administration

Flexible Benefit Administration

When a medical claim is processed for a plan participant with a FSA our claims processing system will automatically process the flexible benefit reimbursement. This is our Auto-flex benefit administration. This reduces the paperwork to be filed by the plan participant and expedites reimbursement.

Healthcare Reimbursement Accounts (HRA)

Healthcare Reimbursement Accounts (HRA)

In conjunction with Consumer Driven Healthcare, or separately, a Healthcare Reimbursement Account (HRA) combines high deductible health insurance with a cash reimbursement. HRAs create a plan that provides extensive coverage for the employee at a lower overall cost for the employer.

Network Management/Provider Relations

Network Management/Provider Relations

Your provider network plays a large part in the performance of your self funded program. CBS will identify the best network solution, which provides accessibility as well as cost savings. Evaluating network elections are a primary function at CBS.

Prescription Drug Programs

Prescription Drug Programs

CBS has partnered with several Pharmacy Benefit Managers to offer competitive savings and exceptional convenience in their network of pharmacies. Our PBMs maintain a drug profile (on each participant) that is screened for possible drug interactions based on previous prescriptions filled, regardless of location filled.

Regulatory Compliance Assistance

Regulatory Compliance Assistance

In order to make the best decisions for your group health plan, you must be well prepared. Our compliance team provides healthcare reform updates- with explanations about ACA requirements and timelines- consultation, and training. Your organization will stay on the track to success with our compliance knowledge and professional insight.

Stop Loss Management

Stop Loss Management

CBS has been utilizing the stop loss market for over 30 years, which has allowed us to develop trusting relationships with carriers and give our clients the best option available.

Utilization Management and Financial Results Report

Utilization Management and Financial Results Report

CBS has been utilizing the stop loss market for over 30 years, which has allowed us to develop trusting relationships with carriers and give our clients the best option available.

In addition to the monthly report set provided to each client, Corporate Benefits Service provides a comprehensive annual report, the “Utilization Management and Financial Results Report” as yet another valued added client service. Meaningful claim analysis is critical to budgeting for each benefit plan, critiquing plan design and evaluating plan utilization and cost. The management report is prepared at the end of each year to facilitate this cost management effort.

The annual management report provides an overview of all claim activity for each benefit plan administered by Corporate Benefits Service. Detailed analyses and exhibits, as well as trend and norm comparisons are included in this report.

Following is a brief sampling of some of the many data elements/analyses included in the annual management report.

  • Claims payment data by month with trend and norm comparisons
  • Utilization data with trend and norm comparisons
  • PPO network utilization and payment results
  • Claim volume analyses
  • Claimant profiles
  • Medical payments by category with trend comparisons
  • Catastrophic claim profile including demographic summaries
  • Key hospital and provider identification with trend comparisons
  • Diagnostic categories of payment experience with trend comparisons

Each report includes an Executive Summary, Cost Management Recommendations for the upcoming plan year and Detailed Menu Computer Reports for additional review. Our reporting staff is available to assist clients with data research projects.

Utilization Review/Case Management

Utilization Review/Case Management

Our highly qualified staff of registered nurses assists with:

  • Pre-Admission Review
  • Concurrent Review
  • Medical Necessity Review
  • Case Management and Large Loss Claim Screening/Referral
  • Claims Review and Reporting

Some additional services we provide are:

  • Healthy Pregnancy Program
  • Preventive Care Reminder Program
  • Healthcare Productivity Management

Our staff of nurses are on-site at CBS. This has allowed us to deliver effective and expedient service to our clients and their participants. Our medical management department, Alliance Review Services, became operational in 1995 to enhance our medical benefit administration and claims processing decisions. The synergy that exists between our medical and claims departments are possible only through a fully integrated, on-site program.

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