Susan James's Contact Details

Susan James's Company Details

HealthSCOPE Benefits Inc

Little Rock, AR, US • 500 - 999 Employees
Insurance

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 AdministrationHealthcare 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