Health and Welfare Including Dental Claims Processing and Customer Service

1. Claims Administration
   • Adjudication of claims in compliance with fund benefit rules
   • Dedicated processing team
   • Quality control
   • Pre- and post- payment audits
   • Utilization reporting


2. Billing and Collections
   • Update data by participant and employer
   • Administer delinquency procedures and collections
   • Preparation and distribution of monthly billing
   • Collection and reconciliation of monthly contributions
   • Standard reporting (monthly, quarterly, annually)


3. Respond to Participant Inquiries
   • Eligibility
   • Claims
   • Premiums
   • ID cards
   • COBRA status
   • Appeals


4. Respond to Medical Provider Inquiries
   • Eligibility
   • Claims status

Customer Service is available 8:00 a.m. to 8:00 p.m. ET Monday through Thursday, Friday 8:00 a.m. to 6:00 p.m. and 9:00 a.m. to 2:00 p.m. on Saturdays.