Rosetta W

HealthSCOPE Benefits

HealthSCOPE Benefits is a full service claims administration and health management firm providing administrative and other support services to self-funded employers. In select geographic markets, HealthSCOPE Benefits also works with strategic insurance company partners providing access to HealthSCOPE Benefits'​ networks. Headquartered in Little Rock, Arkansas with offices in Columbus, OH; El Paso, TX; Indianapolis, IN; Los Angeles, CA; Nashville, TN; St. Louis, MO; and Atlanta, GA, HealthSCOPE Benefits'​ more than 800 employees support clients in the management of almost $1 billion in annual healthcare expenditures. We are currently the 4th largest TPA in the United States as ranked by Business Insurance Magazine based on administrative fee revenue. Administrative Services • Medical, Dental & Vision Claim Administration • Pharmacy Benefit Management • COBRA / HIPAA Administration • Retiree Administration • Premium Reimbursement • Medicare Part D Reimbursement • Medicare Coordination • Retiree Billing Administration • Retiree Healthcare Savings Accounts • Incentive Management • Stop-loss / Reinsurance • Recovery Services • Flexible Spending Administration • HRA/HSA Administration • Wellness Administration • Taft Harley Administration • Reference Based Pricing Administration Healthcare Management Services • Network Development and Management (HealthSCOPE Benefits currently manages proprietary networks and/or contracts with networks in all 50 states) • Benefit Design Consulting Support • Medical Management Services, including High Risk/Chronic Care Management • Identification (using predictive modeling capabilities) and management future of high cost participants through Disease Management • HSB DataSCOPE™ - Data Reporting and Analysis Services