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Capabilities - Quality Control | Dedicated Benefit Coordinators Led by an an experienced Account Representative and Claim Supervisor, each plan administered by IPI is assigned a dedicated customer support team. This system results in the IPI team developing an in depth familiarity with specific plan benefits and closer relationships with plan participants. Accurate Claims Payment Strict testing procedures, coupled with sophisticated software programs, provide our clients with accurate, efficient claims processing. Each month IPI’s management team performs quality audits to review claims utilization, loss ratios, personnel performance metrics, participant inquiry frequency and other operational functions which impact both qualitative and quantitative plan performance. Time-Lined Claims Processing IPI process and pays 75% of all received claims in three days. Employing a proven system of claims tracking, IPI operates to the following standards for claims processing times: Standard Claims: 5 working days
Coordination of Benefit Claims: 7 working days
Ineligible Claims: 1 working day
Claims Adjudication and Pricing To be completed. Cost Containment IPI has partnered with leading utilization and care management companies to ensure that plan participants receive the care they need, while plan sponsors can still maintain strict oversight over incurred charges and expenses.Our Coordination of Benefits service saves clients an average of 17.5% of submitted claims.
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