CUSTOMER
PROFILE
BeniComp® is a third-party administrator (TPA) based in Fort
Wayne, IN. BeniComp Advantage - a unique program developed and
administered by the TPA - offers a supplemental group medical
insurance policy that works in conjunction with a high deductible
health plan. It marries the best of consumer-driven health plan
initiatives with wellness and disease management initiatives to
give employees a way to earn credits that lower their "net"
deductible as they lower their personal health risks. THE
CHALLENGE
BeniComp originally selected LuminX in 2000 to address the changes
necessary for Y2K, as well as the issues related to fully integrated
scanning services and auto-adjudication.
THE SOLUTION
In working with LuminX and learning about its offerings, BeniComp
was able to develop and launch BeniComp Advantage. The dynamic
plan building features and EDI capabilities of LuminX means
BeniComp's billing, eligibility management and claims adjudication
processes are practically worry-free. With 99% auto-adjudication
through the system, BeniComp Advantage staff can focus on the
sales, implementations and relationship management.
THE RESULT
LuminX gave BeniComp the ability to create new projects and
new policies which have since become critical to their business
model. Today they pay third-party administrator claims but also
serve as the national back-office for New York Life, Security
Financial Life and others. They recently received the highest
quality rating possible from a national insurance carrier conducting
an audit.
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