Our Products & Services
Custom Integrative Healthcare Solutions: ASO We do the work, you see the savings
Smart solutions. Healthy results.
Administrative Services Only: We do the work, you see the savings The CHP Group (CHP) is the authority in delivering accessible, high-quality integrative healthcare (IH) solutions that promote member and employee health and satisfaction while controlling healthcare costs. Founded in 1989, we have nearly 30 years of experience in managing evidence-based integrative healthcare. We are the partner of choice for health plans and employer groups who want the best IH services. Our Administrative Services Only (ASO) program – available to health plans and large employer groups – offers access to our high-quality network providers and adds our extensive experience in claims administration to create a seamless, scalable IH solution. Our ASO arrangement removes the administrative burden from the health plan or employer and let’s us do the work that we’re known for: expertly managing a high-quality integrative healthcare provider network and providing outstanding claims administration and customer service. Our ASO program offers all the components of our Network Lease program (see separate info sheet) plus the following:
Eligibility Management Professional and accurate administration of member eligibility and enrollment data.
Reimbursement Policies Our IH-specific proprietary reimbursement
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Customer Service CHP has a staff of professional, courteous, and expertly-trained customer service representatives with expertise in IH benefit administration.
Claims Administration, Auditing & Processing Using our customized, IH-configured claims system, we ensure timely and accurate processing of claims. Our claims services include: • Check generation and direct deposit services for IH claims • Provider TIN verification and annual IRS reporting and filing requirements • Timely delivery of providers RAs and member EOBs • Comprehensive claims auditing designed to maintain operational excellence and detect and prevent fraud and abuse
Medical Management Our many years of experience in clinical and administrative management of the four IH disciplines informs our Medical Management program and increases predictability of cost.
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policies have been developed through our many years of integrative healthcare industry experience and expertise. Utilizing these IHspecific policies optimizes member benefits and contains cost for the payer.