DAS offers you the benefits of self-funding, but we don't stop there. We also give you the advantage of managed care. That means we carefully monitor the delivery of health care services, and balance the quality of care with the utilization of those services in order to lower costs and control your health care expenses. We do this throughout the entire process, from the provision of care to claims payment. We'll even prepare detailed reports on your group's claims, so you can track your benefit dollars.
- Consultation on benefit design (including actuarial)
- Underwriting/Enrollment procedures
- Underwriting of new hires/late entrants as necessary
- Group enrollment
- ID card preparation
- Employee summary plan description (SPD) preparation
-Monthly stop-loss and life billing for carrier
- Claims Processing
-DAKOTACARE "no paperwork" system
-Under two-day claims turnaround time
-Detailed explanation of benefits (EOB)
-Identification on provider detail statements
-Outstanding claims accuracy
-Responsive customer service (on-line claims)
-Extensive subrogation/workers comp investigation
-Extensive coordination of benefits (COB)
-Comprehensive employer reporting package
-Preparation of IRS Form 1099's to participating providers
- Managed Care
-Access to DAKOTACARE participating providers network
-Access to "Centers of Excellence" transplant network
-Utilization review preauthorization/approval of services, etc.
Concurrent review
Discharge planning
Individual case management
Drug formulary & utilization program
Provider profiling and practice parameters
- Stop-Loss Insurance
-Access to reputable, experienced "A" rated carriers
-Stop-loss premium discounts due to managed care For more information on any DAKOTACARE product or service, contact the DAKOTACARE Sales and Marketing Department at (605) 334-4000 or (800)325-5598, or your local DAKOTACARE agent.. |
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