IMS | What we Offer
Beyond Benefits: Your Trusted Partner in TPA Excellence
Are you looking for a Third-Party Administrator (TPA) that goes beyond basic benefit management? At IMS, we understand the complexities of modern employee benefits. We partner with you to deliver seamless, efficient, and comprehensive claims and account administration, empowering your organization to focus on what matters most – your people.
Why choose IMS as your TPA partner? We combine cutting-edge technology with unparalleled expertise and a commitment to personalized service. Our robust suite of services is designed to streamline your benefit programs, reduce administrative burdens, and enhance the overall experience for your employees.
Our Core TPA Services:
Medical Claims Administration
- Simplify the healthcare journey:We handle the intricate process of medical claims from submission to payment, ensuring accuracy, compliance, and timely resolution.
- Expert claim review and adjudication:Our experienced team meticulously reviews claims to identify errors, prevent fraud, and apply plan provisions correctly.
- Dedicated support for your employees:We provide clear communication and responsive assistance to help your members understand their benefits and navigate the claims process.
- Data-driven insights:Gain valuable insights into your healthcare spending with our comprehensive reporting, helping you make informed decisions about your plan design.
Dental Claims Administration
- Smooth and efficient dental benefit processing:From routine cleanings to complex procedures, we manage all aspects of dental claims with precision and care.
- Reduced administrative overhead:Let us take on the burden of processing, allowing your team to focus on strategic initiatives.
- Enhanced member satisfaction:We provide clear explanations and prompt service, ensuring a positive experience for your employees utilizing their dental benefits.
Vision Claims Administration
- Seamless vision benefit management:We administer vision claims for eyewear, exams, and other vision-related services, ensuring quick and accurate processing.
- Easy access to vision care:Our streamlined process makes it simple for your employees to utilize their vision benefits and maintain their eye health.
STD (Short-Term Disability) Claims Administration
- Compassionate and compliant STD claim management:We understand the sensitive nature of short-term disability claims and administer them with empathy, efficiency, and strict adherence to regulations.
- Expedited claim processing:Our goal is to ensure timely payments to employees during periods of disability, providing peace of mind.
- Support for return-to-work programs: We can assist in coordinating return-to-work efforts, facilitating a smooth transition for your employees.
Flexible Spending Account (FSA) Administration
- Empower your employees with tax-advantaged savings:We provide comprehensive administration for Flexible Spending Accounts, allowing your employees to pay for eligible healthcare and dependent care expenses with pre-tax dollars.
- User-friendly platform and support:Our intuitive system makes it easy for employees to manage their FSA accounts, submit claims, and check balances.
- Compliance expertise:We ensure your FSA program remains compliant with all IRS regulations, mitigating risk for your organization.
HRA (Health Reimbursement Account) Administration
- Maximize healthcare savings with HRA solutions: We administer Health Reimbursement Accounts, offering a flexible and employer-funded way for employees to pay for medical expenses.
- Customizable HRA designs:We work with you to design an HRA program that aligns with your benefit strategy and budget.
- Seamless integration and reporting:Our administration ensures smooth operation of your HRA program with clear reporting on utilization and balances.
Innovative Solutions for Cost Containment and Employee Well-being
Reference-Based Pricing (RBP) Administration
- Taming healthcare costs with transparency:Our RBP solutions empower self-funded employers to take control of healthcare spending by setting fair, transparent prices for medical services, often based on a percentage of Medicare rates.
- Data-driven cost savings:We leverage robust data analytics to establish appropriate reimbursement benchmarks, helping you significantly reduce healthcare expenditures.
- Mitigating balance billing:While RBP can present the risk of balance billing, our expert team provides dedicated patient advocacy and negotiation services to protect your employees from unexpected out-of-pocket costs.
- Enhanced flexibility and choice:RBP removes the constraints of traditional provider networks, allowing your employees greater freedom to choose their healthcare providers.
Wellness Works Programs
- Fostering a healthier, happier workforce:Our comprehensive Wellness Works programs are designed to promote overall employee well-being, encourage healthy habits, and proactively manage chronic conditions.
- Customizable wellness initiatives:We partner with you to develop tailored wellness programs that align with your organizational goals and the unique needs of your employees.
- Engaging tools and resources:From health risk assessments and biometric screenings to interactive web portals, personalized coaching, and engaging challenges, we provide the tools to motivate and support your employees on their wellness journey.
- Improved productivity and reduced absenteeism:By investing in employee health, you can experience a significant return on investment through increased productivity, lower absenteeism, and reduced healthcare costs in the long run.
- Seamless integration: Our wellness solutions integrate smoothly with your existing benefit programs, providing a holistic approach to employee health management.
Experience the IMS Difference
- Dedicated Account Management:You'll have a committed team focused on understanding your unique needs and delivering tailored solutions.
- Advanced Technology Platform:Our secure, intuitive online portal provides 24/7 access to claims information, account balances, and reporting.
- Regulatory Compliance Expertise:Stay ahead of ever-evolving regulations with our in-depth knowledge and proactive approach.
- Transparent Reporting & Analytics:Gain clear insights into your benefit utilization and costs to inform strategic decision-making.
- Exceptional Member Support:We provide friendly, knowledgeable support to your employees, helping them navigate their benefits with ease.
What are you waiting for?
Ready to optimize your benefit administration, control costs, and empower your workforce? Contact us today for a personalized consultation and discover how IMS can become your trusted TPA partner.