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Are you aware of a software package to process run-out medical and den


Guest Bill55

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Guest Bill55
Posted

We changed claim administrators for our medical and dental plan recently. We are looking to handle run-off claims internally, rather than use our former TPA. Your comments and recommendations will be greatly appreciated.

Posted

BILL:

Either have your prior TPA do the run out claims or have the new one do it. It would be easier for the prior one to do it otherwise you are going to have to transfer claims history data to the new one, and believe me it will be a disater. Cut a deal for a one year run out with the prior TPA. They are the ones most qualified to do run out.

It will be a night mare to do it yourself.

Posted

Kip is so right. Save yourself from a horrible experience, make a deal.

George D. Burns

Cost Reduction Strategies

Burns and Associates, Inc

www.costreductionstrategies.com(under construction)

www.employeebenefitsstrategies.com(under construction)

Posted

I agree with Kip and GBurns. If at all possible use former TPA. Trying to transfer the claims histories is extremely difficult. No matter what the IT folks say about being able to recover all the information, data will be lost.

Posted

Speaking as someone who is in the middle of the situation you are describing, I can assure you that there is no software package on earth that could induce me to process claims inhouse again. I agree with the previous messages - make a deal and pay the piper. The alternative truly is a nightmare.

Posted

This is one of the issues that can be negotiated when you enter into an administrative services agreement. An administrative services agreement should include an exit strategy -- administration of the claims run out, cost of this service, and the turn over of data.

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