Our Solutions For You
Our Services
Solutions We Provide
Plan Administration & Claims
Claims Adjudication
Medical, Vision, Dental, COBRA, HSA, HRA, FSA, Commuter and NJSHBP Differential benefits. HIPAA X12 835/37 enabled and compliant. It is what we do – since 1983
Pharmacy Access
With prescription inflation outpacing all other plan costs, selection of your PBM has never been more important. IDA provides national PBM access with acquisition costs that often beats consortium pricing. 100% of rebates go to our clients. Carve out specialty arrangements when needed.
Provider Network Access
Evaluation and placement of the best network for your plan. National, regional, local and Reference Based Pricing solutions. Disruption and discounting studies benchmarked to your current arrangement.
Plan Administration & Claims
Claims Adjudication
Medical, Vision, Dental, COBRA, HSA, HRA, FSA, Commuter and NJSHBP Differential benefits. HIPAA X12 835/37 enabled and compliant. It is what we do – since 1983
Pharmacy Access
With prescription inflation outpacing all other plan costs, selection of your PBM has never been more important. IDA provides national PBM access with acquisition costs that often beats consortium pricing. 100% of rebates go to our clients. Carve out specialty arrangements when needed.
Provider Network Access
Evaluation and placement of the best network for your plan. National, regional, local and Reference Based Pricing solutions. Disruption and discounting studies benchmarked to your current arrangement.
Plan Administration & Claims
Claims Adjudication
Medical, Vision, Dental, COBRA, HSA, HRA, FSA, Commuter and NJSHBP Differential benefits. HIPAA X12 835/37 enabled and compliant. It is what we do – since 1983
Pharmacy Access
With prescription inflation outpacing all other plan costs, selection of your PBM has never been more important. IDA provides national PBM access with acquisition costs that often beats consortium pricing. 100% of rebates go to our clients. Carve out specialty arrangements when needed.
Provider Network Access
Evaluation and placement of the best network for your plan. National, regional, local and Reference Based Pricing solutions. Disruption and discounting studies benchmarked to your current arrangement.
Reinsurance & Risk Management
Out-of-Network Solutions
Extensive review of medical necessity, coding and billing. Repricing and negotiation of remaining charges on a R&C, FAIR Health, RBP or percentage of Medicare basis.
Reinsurance Marketing
The essential umbrella coverage of your plan. We market extensively to multiple national markets to get the best terms, premium, specific and aggregate attachment points for your plan.
Reinsurance Management
Whether placed by IDA or not, we can coordinate filings with the reinsurer (triggers, large case notification, 50% reports, advance funding and reimbursement requests).
Reinsurance & Risk Management
Out-of-Network Solutions
Extensive review of medical necessity, coding and billing. Repricing and negotiation of remaining charges on a R&C, FAIR Health, RBP or percentage of Medicare basis.
Reinsurance Marketing
The essential umbrella coverage of your plan. We market extensively to multiple national markets to get the best terms, premium, specific and aggregate attachment points for your plan.
Reinsurance Management
Whether placed by IDA or not, we can coordinate filings with the reinsurer (triggers, large case notification, 50% reports, advance funding and reimbursement requests).
Reinsurance & Risk Management
Out-of-Network Solutions
Extensive review of medical necessity, coding and billing. Repricing and negotiation of remaining charges on a R&C, FAIR Health, RBP or percentage of Medicare basis.
Reinsurance Marketing
The essential umbrella coverage of your plan. We market extensively to multiple national markets to get the best terms, premium, specific and aggregate attachment points for your plan.
Reinsurance Management
Whether placed by IDA or not, we can coordinate filings with the reinsurer (triggers, large case notification, 50% reports, advance funding and reimbursement requests).
Plan Funding & Financial Reporting
Reporting
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Consolidated Billing
To make our Clients’ lives simpler. IDA provides consolidated billing, centralizing and itemizing all composite costs, and then facilitates vendor remittances
Funding & Payment Fulfillment
At IDA, your claims account is your account and your money. Claims funding is on your selected schedule where funding requests equal distributions for a zero balance account. No reserves or withholds. Traditional check and ACH/EFT payment options.
Plan Funding & Financial Reporting
Reporting
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Consolidated Billing
To make our Clients’ lives simpler. IDA provides consolidated billing, centralizing and itemizing all composite costs, and then facilitates vendor remittances
Funding & Payment Fulfillment
At IDA, your claims account is your account and your money. Claims funding is on your selected schedule where funding requests equal distributions for a zero balance account. No reserves or withholds. Traditional check and ACH/EFT payment options.
Plan Funding & Financial Reporting
Reporting
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Consolidated Billing
To make our Clients’ lives simpler. IDA provides consolidated billing, centralizing and itemizing all composite costs, and then facilitates vendor remittances
Funding & Payment Fulfillment
At IDA, your claims account is your account and your money. Claims funding is on your selected schedule where funding requests equal distributions for a zero balance account. No reserves or withholds. Traditional check and ACH/EFT payment options.
Member Support & Plan Operations
Customer Service
You can always reach a person at IDA. Our Customer Service is personal, professional and located on-site in Oakland. No outsourcing. All benefit designs and claims information is available to the representative. Our aim is to provide one call resolution
Enrollment
IDA works with you to design the level of involvement you wish to retain, often serving as an adjunct to your staff in initial enrollment, adds, drops and coordination of NJFMLA, FMLA, disability and leave policies as it applies to plan enrollment. HIPAA X12 834 capable and compliant.
Plan Design & Building
We can mirror ANY plan design. We consult on recommended changes and impact to the bottom line. Once finalized, we build the logic into the automatic edits of our claims system to produce the exact outcome you designed.
Member Support & Plan Operations
Customer Service
You can always reach a person at IDA. Our Customer Service is personal, professional and located on-site in Oakland. No outsourcing. All benefit designs and claims information is available to the representative. Our aim is to provide one call resolution
Enrollment
IDA works with you to design the level of involvement you wish to retain, often serving as an adjunct to your staff in initial enrollment, adds, drops and coordination of NJFMLA, FMLA, disability and leave policies as it applies to plan enrollment. HIPAA X12 834 capable and compliant.
Plan Design & Building
We can mirror ANY plan design. We consult on recommended changes and impact to the bottom line. Once finalized, we build the logic into the automatic edits of our claims system to produce the exact outcome you designed.
Member Support & Plan Operations
Customer Service
You can always reach a person at IDA. Our Customer Service is personal, professional and located on-site in Oakland. No outsourcing. All benefit designs and claims information is available to the representative. Our aim is to provide one call resolution
Enrollment
IDA works with you to design the level of involvement you wish to retain, often serving as an adjunct to your staff in initial enrollment, adds, drops and coordination of NJFMLA, FMLA, disability and leave policies as it applies to plan enrollment. HIPAA X12 834 capable and compliant.
Plan Design & Building
We can mirror ANY plan design. We consult on recommended changes and impact to the bottom line. Once finalized, we build the logic into the automatic edits of our claims system to produce the exact outcome you designed.
Compliance, Auditing & Advisory Support
Auditing
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Compliance
IDA maintains multiple professional memberships to position your plan for upcoming challenges. IDA supports all annual reporting requirements, including SBCs, SPDs, SMMs, HIPAA, CHIPRA, 5500 and the 1094/1095 filing series.
Compliance, Auditing & Advisory Support
Auditing
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Compliance
IDA maintains multiple professional memberships to position your plan for upcoming challenges. IDA supports all annual reporting requirements, including SBCs, SPDs, SMMs, HIPAA, CHIPRA, 5500 and the 1094/1095 filing series.
Compliance, Auditing & Advisory Support
Auditing
Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.
Compliance
IDA maintains multiple professional memberships to position your plan for upcoming challenges. IDA supports all annual reporting requirements, including SBCs, SPDs, SMMs, HIPAA, CHIPRA, 5500 and the 1094/1095 filing series.
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Ready to Transform Your Business?
Contact us to see how we can help you!
Ready to Transform Your Business?
Contact us to see how we can help you!
Ready to Transform Your Business?
Contact us to see how we can help you!