MANAGE THE RISK, CONTROL THE COSTS
Claims Administration
Diversified Administration Corporation (DAC) is the third party administration (TPA) division of the Diversified Group Family of Companies. DAC is responsible for all eligibility, adjudication, payments and customer service.
Members of our management team have an average tenure of 24 years and our staff has more than 17 years of experience with partially self-insured health plans. You simply cannot get this anywhere else. This in-depth knowledge allows DAC to offer a solid understanding of benefits, risk management, contract interpretation, implementation, enrollment, claims processing and exceptional customer service.
Customer service, paid claim accuracy and code review is the focus of every professional in our claims department. DAC averages a 99% paid claim accuracy. DAC’s internal audit programs ensure that only proper charges will be considered and paid.
Control for Rising Costs
To keep plan costs down, we offer numerous national and regional PPO networks for our clients. This is especially important for clients with several employee locations. This level of flexibility helps us provide meaningful service that meets a variety of needs.
We use the most current technology to customize plans, provide on-demand reporting, process claims and handle all billing and reporting. Technology helps us to manage, analyze and make plan recommendations, as well as manage risk. In addition, it allows for more accurate service to our customers, which results in prompt claim payment and, ultimately, satisfied members.
Clients can also use our customizable website to enroll electronically, review plan documents and receive claim results faster and more accurately. This saves time and frustration – and builds on our exceptional level of customer service.
We are a fully integrated subsidiary of the Diversified Group and are part of a complete insurance solution.
CORPORATE MANAGED HEALTH SERVICES (CMHS)
Provides case management services that ensure your high risk and chronically ill members are receiving the most appropriate and effective care. Pharmasense delivers high quality pharmacy benefits management and guides plan members to the most effective and cost-efficient prescriptions.
