Health Plan Services
Arcadian Management Services offers an entire suite of services designed for Health Plans seeking business process outsourcing (BPO) services. A unique package of services can be designed based on your specific needs. Contact us to receive a full information packet. Among our offerings:
- Enrollment Processing and Eligibility Management
- Capitation Management
- Provider Fee Schedule Maintenance
- Benefit Maintenance
- Claims Management
- Encounter Data Management
- Customer Service & Member Services
- Insurance Services (Stop Loss, COB, TPL)
- Risk Pool Reporting and Administration
- HCC (RAF Score) Management
- ACH Provider Payments
- Provider Contracting and Network Development
- Decision Support & Data Analysis
- Web Based Solutions
- AOS - Web access to Claims, Eligibility, Authorizations
- MAGS – Member Appeals and Grievance System
