About Automated Benefit Services

 

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Excellent Customer Service

Get the guidance and care you deserve from a dedicated team

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Smart, Flexible
Plans

Simple or complex, large or small, we have options that work for you

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Tested and
Trusted

Year after year, we deliver financial and operational excellence in healthcare

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Doctor taking care of an elderly patient
Mother and daughter smiling at each other

Who We Are

Since 1997, ABS has been helping clients affordably manage their healthcare costs through third party administration (TPA) services.

From simple, straightforward medical plan administration to multi-tier programs involving numerous networks and complex fee structures, we provide custom, best-in-class turnkey solutions to client groups across the US and on a limited international basis.

Our portfolio of services includes self-funded medical, prescription drug, dental, vision, disability, HRA, FSA, COBRA, MEWA and benefit fund administration services; cost containment and online enrollment; and medical management services, including utilization management, disease management, complex case and behavioral health management, wellness and prevention programs, medical bill review, managed care systems and managed care consultation.

We currently serve over 625,000 people, and processes more than 3.2 million claims for member clients with a total value exceeding $831 million annually. ABS is owned by Ascension Care Management Holdings, Ltd., a wholly owned subsidiary of Ascension, the largest nonprofit healthcare system in the US.

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Doctor reviewing notes from folder and speaking to elderly patient
Happy family having a picnic in the sun

Our Commitment to Excellence

Our team of over 200 professionals deliver documented excellence in enrollment and billing, claims adjudication and administration, client services and support, and customer communications.

We participate in numerous annual internal and external audits performed by state and federal government agencies, clients and CPAs, independent firms as well as our internal ABS audit team.

Year after year, ABS ranks favorably among its competition in both operational and financial performance. ABS performance is guaranteed to meet or exceed stated benchmarks below.

$897m
Paid in claims
4,175,670
Claims processed
648,211
Members administered benefits
510,970
Customer service calls handled
99%
Claims processing & billing accuracy
267,520
Fax recalls transmitted to providers

Services That Make a Difference

Having the right services in place for you and your company mean you can manage your healthcare with ease. No matter the size of your plan, all our clients universally receive:

1.

Cost Containment

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Our proprietary cost containment system targets savings in provider up-coding and unbundling, subrogation opportunities, alternative network savings, hospital credit balances, inaccurate billing and fraud.

2.

Dedicated Client Services Team

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Your dedicated team will provide plan reporting, assist in enrollment and employee meetings, handle group paperwork and amendments, ensure client compliance, and act as liaison on client claim issues. Your customer support team will be staffed according to your needs and expectations.

3.

Customer Service Monitoring

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To ensure an excellent, consistent customer experience, we have electronic recording, auditing and archiving of customer service calls.

4.

Real-Time Data Access

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Our fully integrated data systems give you real-time updates between claims, customer service, billing, eligibility and enrollment, authorizations and managed care services

5.

24/7 Customer Portal Acces

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24/7 access to coverage details, enrollment data, provider searches, EOB lookups, digital ID Cards, fax recall automated fax back system and financial inquiries for administrators through our web-based secure services portals for groups, members and providers.

6.

Seamless Account Setup

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Experience efficient coordination of banking arrangements including account establishment and reconciliation to meet your needs, as well as timely run-in and run-out periods for your benefits.

7.

Disaster Recovery

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Our disaster recovery/ business continuation programs will keep you running, guaranteeing minimal business interruption and immediate data restoration.

8.

Custom Reporting

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Have the information that matters to you with customized plan reporting and communications, and feel confident and secure with our established confidentiality policies and procedures.

Major Networks and Excess Loss Carriers

ABS groups have the ability to select from the nation’s leading excess loss insurance carriers, including Aran Underwriters/Gerber and American Fidelity, HCC Life, Optum/Unimerica, Munich Re/American Alternative, Symetra, IHC/Standard Security, AIG/National Union, Northwind/Transamerica, MLB Re/Standard Life, Sun Life, and Stop Loss Insurance Services. The most popular Preferred Provider Organization networks are also available– Cofinity, HAP, Trilogy, Sagamore, HFN, FirstHealth, MMO, Cigna and PHCS, among others.

AIG logo
ARAN Insurance Underwriters logo
Standard Life logo
Sub Life logo
Transamerica logo

Contact Us

If you would like further information on our services and product offerings then please use the appropriate contact detail below to get in touch.

MEMBERS

Contact us using the phone number located on the back of your ABS Member ID Card.

PROVIDERS

Contact us using the phone number located on the back of your patient’s ABS Member ID Card.

CURRENT CLIENT EMPLOYERS

Contact your dedicated Account Manager directly.

AGENTS

Contact us at: 1 (586) 693-4300
salessupport@ushealthandlife.com


Sales Department
Dennis MacGillis1 (248) 341-3025dmacgillis@abs-tpa.com