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  • How PBMs Help Reduce the Burden of Cost for the End Patient

    How PBMs Help Reduce the Burden of Cost for the End Patient

    Pharmacy Benefit Managers (PBMs) play a vital role in the administration of claims for insurance companies. The ever-increasing cost of prescription medications is a challenge that is difficult to tackle and a PBM will partner with the insurance company to help control claims costs. In challenging times such as this, it is vital to the

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  • Northwood: Helping to Improve Your Claimant Engagement

    Northwood: Helping to Improve Your Claimant Engagement

    The administration of claims can be incredibly complex, particularly if the claimant involved suffered catastrophic injuries. Adjusters and examiners are often on the front lines of the claim, tasked with many duties including claimant indemnification. Whether a claim falls under workers’ compensation or automobile no-fault coverage, it’s important for an insurance company to also focus

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  • Will Integrating Medical and Pharmacy Benefits Lead To An Improved Bottom Line?

    Will Integrating Medical and Pharmacy Benefits Lead To An Improved Bottom Line?

    Insurance companies administering claims are tasked with overcoming many obstacles and difficulties within automobile no-fault and workers’ compensation claims. When claimants sustain injuries and require the use of prescription medicines together with durable medical equipment, prosthetics and orthotics (DMEPOS) services, insurance companies and their adjusters and examiners are confronted with many additional challenges above and beyond the typical complexities associated with claims. If your insurance company hasn’t considered integrating medical and pharmacy benefits, you

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  • IMPACT OF PROVIDER NETWORKS WITH DISCOUNTED RATES

    IMPACT OF PROVIDER NETWORKS WITH DISCOUNTED RATES

    Within the field of claims administration, there are many avenues that insurance companies may choose to take to assist in holding down costs and in lessening the administrative burdens placed on adjusters and examiners. One such avenue that brings a multitude of benefits to an insurance company is to partner with a third-party administrator (TPA) on each claim, whether auto no-fault

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  • Benefits of a Pre-Authorization Process

    Benefits of a Pre-Authorization Process

    The proper and efficient administration of workers’ compensation and automobile no-fault claims is vital to an insurance company’s continued success. As every adjuster and examiner knows, the first duty is to restore the claimant to his or her previous state after he or she experiences an injury due to a claim. Another responsibility of adjusters

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