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Health Plan Administration

Consulting & Compliance

With over 30 years of claims and risk management experience, we offer comprehensive consulting and compliance assurance services that help manage costs and ensure compliancy every step of the way.

Consulting Services

As we are all aware, the Insurance Industry has taken more than its fair share of devastating punches in the last decade. Major investment losses resulting from market turmoil and a rise in catastrophic losses, continue to exact a heavy toll. And with the likelihood of significant regulatory changes just around the corner, along with continued market uncertainty and changing customer demographics, it’s anybody’s guess what the future holds.

Today everything’s connected, from technology to tax strategy. That’s where we can help. We bring every aspect of your business into focus – together.

To help our clients meet these challenges, we provide strategic, financial, operational and IT services. We draw on deep insurance industry expertise to deliver results you can rely upon. Let us help you pave the way to world class performance!

Contact us today for a free consultation.

Regulatory & Compliance

PATH is dedicated to helping our clients address regulatory requirements pertinent to their business activities and strategic objectives in an effective and cost-efficient manner. We proactively seek to promote compliance standards by partnering with ERISA council, participating in ongoing educational courses and subscribing to a wide array of publications that are industry regulated.  We work towards educating your workforce and detecting potential violations before they occur.  We also assist clients in addressing identified compliance issues, interacting with regulatory authorities, and responding to inquiries, investigations and other regulatory actions.

Highlights

  • HIPAA Compliance
  • Privacy
  • High Tech Security Act
  • Fraud, Waste & Abuse Protection
  • 270/271: Health Care Eligibility Benefit Inquiry and Response
  • 276/277: Health Care Claim Status Request and Response
  • 835: Health Care Claim Payment/Advice
  • 837: Health Care Claim – Professional
  • 837: Health Care Claim – Dental
  • 837: Health Care Claim – Institutional
  • 834:  Benefit Enrollment and Maintenance