Service dashboard

Simplified Benefits Administrators offer a wide array of products and services that reflect the diverse needs and requirements of our clients, including:

  • Medical and prescription drug plan development, to include:
    • Tradition PPO plans and network constructs.
    • Value-based benefit programs, including our Enhanced Direct Primary Care model, aligned with our High-Performing Networks.
    • Telehealth consultation accessibility.
    • Consumer-directed health plan administration (FSAs, HRAs, HSAs).
  • Onsite open enrollment support.
  • Online enrollment capabilities.
  • ID card production.
  • Online portal accessibility.
  • Plan Document and Summary of Benefits and Coverage (SBC) preparation.
  • Integrated claims administration and customer service.
  • All-inclusive medical management including:
    • Referral management.
    • Prior authorization of services.
    • Concurrent review.
    • Discharge planning.
    • Case management.
  • Customized, face-to-face chronic disease management programming.
  • COBRA administration.
  • Sophisticated reporting and data analytics platforms that produce:
    • Predictive cost models.
    • Longitudinal cost analyses.
    • Quality performance metrics.
    • Return on Investment valuations.

From plan implementation through plan renewal, Simplified Benefits Administrators is with you every step of the way, working hard to provide the greatest value to your organization and helping take your employees from health care to health.