Third Party Administration

Whether you require state-of-the-art claims adjudication services or utilization management services, HS1 can offer innovative care management solutions for your organization.

We've redefined the meaning of "Administrative Services Only" (ASO)

It used to be that the term "ASO" applied only to claims adjudication services. Payors were forced to contract with multiple, unrelated third-party vendors in an effort to piece together an effective managed care program. As you'll discover, HS1 offers a totally integrated medical risk management solution that redefines the meaning of "ASO" services.

From full claims adjudication and comprehensive utilization management to provider network services, our ASO services are available on a bundled or unbundled basis, so you can tailor a cost-effective care management program that meets your financial goals and the needs of your insureds.

Whether you are a provider group, a government entity, a specialty network taking medical risk, HS1 is a unique boutique TPA that can help you reduce your overall medical and administrative costs.

HS1 can assist in providing any one of these high quality services, at very attractive rates:

  • Accounting & Finance
  • Beneficiary / Eligibility
  • Claims EDI, Adjustment & Settlement
  • Compliance & Government Relations
  • Enrollment
  • Fraud Waste & Abuse
  • Integrated IT Technology
  • Member Services
  • Operational Support
  • Premium Billing & Collection
  • Regulatory Application Submission
  • Regulatory Forms / Filing & Reporting
  • Risk Management
  • Web Portal for Providers

Medical Management

Learn more about our Medical Management services we offer:

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