Eligibility maintenance
Stay on top of eligibility with comprehensive employer group eligibility support.
Need to get an employee on or off a plan? We can manage everyday eligibility for your group clients, including handling any changed to your clients’
Adds
Terms
Changes
Escalated member claims
Assistance coinciding carrier personnel to process claims quickly and accurately with tenured claim specialists. As your general agency partner, Paragon can…
Navigate provider bills and EOBs, ensuring accuracy
Get claims appropriately adjudicated
Perform claim reconciliation
Billing reconciliation
Identify any group/carrier billing discrepancies with reconciliation audits at POS, midyear, or renewal time. As your partner, Paragon will…
Ensure enrollment information is accurate
Confirm plan policy matches sold
General support
Throughout the year, or for a policy, we are your carrier liaison. No more waiting on hold or for answers. Partner with Paragon for back-office broker support, including…
- Delivery of benefit summaries and other carrier documents
- Carrier marketing collateral
- Getting members their ID cards
- Navigating the drug formulary
