Frequently Asked Questions:
Who is IMA?
What kinds of services does IMA offer?
What types of insurance programs does IMA offer?
Which insurance companies provide quotes for IMA?
What is a Third Party Administrator?
What claims administration and plan design services are available?
What kind of auditing procedures are in place?
What kind of customer service does IMA offer?
What kind of claims processing is available to the public from IMA?
Can employers design and tailor their own medical benefit plan?
How do you take the risk “out” of self-funded medical plans?
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What kinds of services does IMA offer?
Claims Administration
Plan Design Analysis
Network Development
Data Management
Utilization Management
PPO Network Repricing
HSA Administration
Conventional
Medical reimbursement
Retention refund
Self-funded
Partial self-funded
HCC Life Insurance
AIG
Hartford Life
Gerber Life
Standard Security Life
Safeco
Pan American Life
Companion Life
Lloyd's of London
QBE Insurance
What claims administration and plan design services are available?
Medical, dental, and vision claims
Prescription drug programs
Disability administration
COBRA/HIPAA Administration
Surcharge (New York and Massachusetts)
Flexible spending accounts
Stop loss protection
PPO Network Repricing
Specialty networks (Lab One)
Discount Networks
HSA Aministration
Disease Management
Claims examiners are audited based on a 3% random audit
Potential reinsurance claims are audited at 50% of specific amount
Targeted audits are also conducted for special types of claims, such as COB claims or multiple surgeries
Trainees are audited at 100% until they have completed the training program and demonstrated targeted quality results
Customer Service is available between 8 am and 6 pm Mon. thru Thurs (EST) and 8 am and 5 pm on Fri. (EST)
Ratio of one customer service representative for every 1,800 employee lives.
IMA abandonment rate fluctuates between .01% and 2%, depending on client and time of year.
Customer service representatives are cross trained as claims examiners.
Interpreters are available through language line. We also have a dedicated TDD line for the hard of hearing.
What kind of claims processing is available to the public from IMA?
Medical
Dental
Vision care
Short Term Disability
Prescription Drugs
Can an employer design and tailor their own group medical benefit plan?
Absolutely! Partially self-funded plans offer the ultimate in flexibility when considering group medical coverage.
Can you take the risk “out” of partial funded and self-funded medical plans?
Yes, you can purchase aggregate and specific stop loss insurance. In addition, incurred, incurred and paid,
and paid insurance contracts are available to the plan for risk management.
