As specialists in benefit plan design
and administration, our goal at Diversified Group Administrators
is to provide expert health claims management services
to employers who self-fund their health benefit plans.
We specialize in health plan design, information management
and claims administration services for companies of
all sizes, with both individual and multiple locations.
At DGA, we've combined computer technology for efficiency
and accuracy with the skill and experience of professional
claims examiners. The result is a seamless claims handling
process.
And while other Third Party Administrators (TPAs) say
they can match us, few back their products and services
with a 20-year record of client satisfaction. We achieve
this level by paying claims promptly and accurately
and by employing service representatives who listen
to our clients.
And few, if any, can match our commitment AND experience
in electronic claims submission. While other TPAs wrestle
with these technology issues, DGA receives more than
95% of its claims electronically!
Regardless of the number of plans offered by a client,
our systems use a matrix to identify the correct plan
and the appropriate benefit on every claim. The system
may identify conditions that require review by a claims
processor. When this occurs, it recommends appropriate
actions before sending the claim back to the auto administrator
to complete payment.
DGA meets the needs of the marketplace through national
and customized provider networks, risk-sharing models
for self-funded plans, integration of medical, disease,
and demand management programs as well as customized
services built to client specifications.
That means no hassle, no mounds of paper, no delays
in processing, and most important, proven accuracy!
Regardless of the number of plans offered by DGA clients,
our technology enables our processors to achieve consistently
perfect scores in reinsurance audits. Indeed, All TPAs
Are Not Alike! |