AdminaHealth: Group Employee Benefits Billing Reimagined
Benefits Billing Reimagined - Streamline and Automate Bill Consolidation, Reconciliation, and Payment Management
Explore real-world examples of how AdminaHealth’s innovative benefits billing and payments solutions are driving tangible improvements and delivering exceptional results for our clients.
$91,476
During the implementation process, AdminaHealth discovered that 198 plan participants out of 1,037 total participants at a Food Services company were enrolled in a PPO and HMO dental plan from two separate carriers. They negotiated back $24,948 in adjustments. With eight months left on the plan year, uncaught, it would have cost the company an additional $66,528.$420,000
During implementation for an engineering firm with 890 plan participants, AdminaHealth discovered the “buy up” and “base” premiums had been switched by the previous broker. The enrollees were enrolled correctly and were being charged correctly in Enrollment, but the carrier was charging incorrectly on the invoices. It resulted in the client getting a credit of $35,000/ month for the four months it had been charged incorrectly, amounting to $140,000. Had it not been caught, it would have cost the company $420,000 in overpayments for the year.$236,274
While onboarding a medical provider association with 1,757 plan participants spread across 120 locations, AdminaHealth discovered the previous billing provider billed incorrect premium rates for medical coverages, did not bill for spouse and child voluntary life coverages, and did not account at all for pro-rated coverage effective dates. This caused a $39,379 overpayment over a two-month period, with a potential $236,274 annual expense leakage.
$43,662
Over seven months, AdminaHealth identified multiple termed healthcare enrollments that were still active, and hundreds of active enrollments with missing rates, totaling over $43,000 in savings for a transportation client with 800 plan participants spread across five companies, seven divisions, and 40 departments.
$185,940
During implementation, AdminaHealth found that a wound care and healing company with 790 benefit-eligible enrollees had been paying vendors as far back as December 2021 for terminated enrollees. They were also paying an extra $2,495 a month in premiums for Active employees who had previously waived coverage. The year-to-date findings were $69,000 in premium leakage, with an average of $15,495 monthly.
$56,871
Over eight months, AdminaHealth uncovered a healthcare services organization with 837 plan participants was being billed for medical premiums of 115 employees who had termed or waived coverage.
$71,085
Between April 2022 and August 2023, AdminaHealth helped a manufacturing company with 261 plan participants across 16 divisions identify over $71,085 in incorrect charges due to employee changes and incorrect rates.
$98,340
During implementation for a large university with 2,800 plan participants, AdminaHealth discovered they were being charged $8,195/month for 141 employees who were grandfathered on a term life insurance plan for which they should have been direct billed. If not caught, this would have cost the university $98,340 for the year.
$120,000
Using the AdminaHealth Billing Suite allowed an automotive management company with 6,903 employees across 148 locations to save substantial time and money. Before AdminaHealth, reconciling and putting together reports manually took the client three weeks, and now takes only three hours. Dollar savings included ~$10,000/month.
Resolving Billing Discrepancies & Maximizing Efficiency
Discover how AdminaHealth’s Billing Suite revolutionized benefits billing administration for a PEO.
From Chaos to Control: A Case Study in Benefits Billing Optimization
How AdminaHealth solved a semiconductor company’s benefits challenges.
Multi-Group Organization; One Payment
How partnering with AdminaHealth helped one company implement smooth monthly benefits administration for their organization’s 300+ member groups.
Smooth Transition from a PEO
How partnering with AdminaHealth was instrumental in helping one company exit its PEO.