Stop Loss Services
- Stop Loss market analysis to assure you are binding the best stop loss options based on the groups experience.
- Binding the account.
- Plan document vs Stop Loss Policy review to identify any coverage gaps, appeal if necessary.
- Coordinate NDA’s from medical administrator, PBM’s and third-party vendors to ensure consistent flow of reporting.
- Administrator, PBM and Third-Party Vendor Reporting and Claim Filing Interface.
- Stop Loss monthly reporting and claims management.
- Servicing the account from daily inquires to appeals.
- Claim notifications and filings as required by the stop loss carrier.
- Monthly audit of specific and aggregate reports.
- Reimbursement payments are sent directly to the group via ACH or check from the stop loss carrier.
- Monthly invoice flexibility with monthly invoicing by SABS or self-billing by the group.
- Monthly or Quarterly reporting package integrating medical, prescription and/or third-party vendors to track aggregate and specific stop loss data received and claims filed on one report.
- Renewal Market Analysis is simplified when SABS manages the stop loss during the plan year by providing our “SIMPLE RENEWAL”.
- Ability to manually underwrite a case illustratively to successfully negotiate with our stop loss carriers.