ACCURACY
Management Reports
D. H. Evans Associates has over 125 standard reports available. Standard reports, and customized reports previously created, are available to run on an “On-Demand” basis through our on-line reporting system. Standard reports include, but are not limited to: Aggregate Analysis Report, Claims Summary (Month/YTD), Large Claims Review, Paid Claims Summary and Monthly Claims Register, Procedure Code by Zip, Diagnosis Summary, Plan Payment by Benefits, Length of Stay, Confinement Analysis, Non-covered Charges Summary, Benefits by Claimant, Paid Claims by Group, Major Diagnosis, Claims by Deductible, Census by Summary, Census by Detail, and more.
COBRA Administration
DHE also provides comprehensive COBRA administration. Our COBRA administration includes all services from eligibility confirmation to enrollment periods, all employee notifications, premium calculations, accurate billing, tracking secondary qualifying events, late payment and termination notices, etc.
HIPAA Administration
The Health Insurance Portability and Accountability Act of 1996 is a Federally mandated law. HIPAA restricts a plan’s pre-existing condition limitations by reducing those limitations by the amount of an employee’s or dependent’s “creditable coverage” provided through prior coverage. Generally, there cannot be more than a 63-day break in coverage in order to receive prior coverage credit (more in some states.)
Creditable coverage is verified by issuing Certificates on a timely basis. DHE will track all creditable prior coverage, issue timely certificates, and record all related data in our system for future verification.