USAble® PPO: Preferred provider organization
offered by USAble Administrators, a third-party health insurance administrator.
USAble Administrators Primary Care Network (PCN):
Employer-sponsored, managed care program, featuring a primary care provider
network.
USAble Value: Third-party administrator product
for today's health-care customer.
Case Management: Identifies members with
special health-care needs, develops a treatment plan, and coordinates and
monitors cost-effective medical care.
Coordination of Benefits: Coordinates payments
for services when an individual is covered by more than one health plan.
Excess Loss: Protects employers against
unexpected losses due to exceptionally high-cost medical claims.
Health Education Programs: Disease-specific
approaches to medical information and education. Consult your benefit handbook
to determine if your plan includes these programs.
Hospital Bill Audits: Audits hospital bills to
verify charges and correct errors in hospital billing and medical claims
payments.
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Pharmacy Programs: Coordinates prescription
drug benefits for members of group health plans.
Member Discount Programs
Subrogation: Seeks restitution when a covered
person's claim is caused by someone else's negligence or wrongdoing.
Utilization Management: Review of
medical services against established norms to evaluate appropriateness and cost
effectiveness.
USAble Administrators can offer a dental plan to fit any employer's needs.
Dental plans can be offered in conjunction with a group health plan or as a
stand-alone program. Our dental offerings are continuously updated.
Participating
dental care providers, representing every dental specialty, agree to
accept the Plan's allowances as payment in full and file claims on behalf of
our members. This kind of convenience takes the worry out of dental coverage.
If you should ever need customer service,
we have knowledgeable representatives in our home and
regional offices to assist you.
Click here
to search our Dental PPP provider directory.
NOTE: Not all groups have dental benefits, and
some groups contract with other third-party administrators for dental benefits.
Consult your human resources office or Customer
Service for more information.
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