Quartz Self Insured Health Plan Services

Tailor your health benefits to help meet the specific needs of your employees.  Our experienced staff helps you maintain maximum control over your health benefit costs through effective plan design, administration and cost management solutions.

All Quartz customers can receive the following services that make it simple to administer your plan –

  • Plan installation Services – Along with customized documents and ID cards, you’ll have access to an online portal to manage your enrollment. Your employees will receive secure online access to their plan information, claims and more through MyChart
  • Enrollment Services – Our experienced staff will enroll your employees, issue plan documents, process enrollment transactions and more
  • Claims Payment Services – You’ll receive claim adjudication and adjustments, coordination of benefits investigation, claims edits and bundling review services. In addition, we will send explanation of benefits (EOBs) as well as other benefit notices to your employees
  • Customer Service – We provide an experienced customer service specialist designated to you and your employees
  • Reporting Services – We provide stop loss reporting and detailed claim analytics to help you identify potential saving opportunities
  • Financial Services – We provide you with a monthly invoice, weekly claim payments, claim notifications, check disbursements, check register and account reconciliation and more

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Optional Services

You also have the option to purchase additional services –

  • Dental Coverage
  • Vision Coverage
  • Pharmacy Benefits Management
  • Wellness Programming
  • Disease Management Programs
  • Utilization Management
  • Stop-loss Placement
  • Actuarial Consulting
  • Ad-hoc Reporting
  • Federal External Review for Appeals
  • Subrogation
  • Hospital Bill Audit
  • COBRA Administration
  • Flexible Spending Accounts (FSA)
  • Notification to Participants Requirements
  • Custom Network