NM&A offers two methods for delivering our plan administration service: i) Dial-in or ii) Full Service.

Dial-in Service
With Dial-in service, NM&A dials into the client's claims processing system. This process is simple and efficient. The client sends paper or scanned claims to NM&A for entry into their system or the client can input the claims into their system independently. Once the claims are entered into the system (either by NM&A or the client), NM&A handles all aspects of claim adjudication. This process generates a more efficient and less costly claims processing workflow.

Dial-in service enables NM&A to connect with our clients' processing system for real-time and efficient claims processing. NM&A is able to provide data input for eligibility, PPO re-pricing, and claims processing through a secure network connection.

The following diagram explains the simple Dial-in process:



Full Service
With the Full Service option, clients leverage NM&A's claims processing systems, hardware and claims examiner teams to outsource the entire claims administration process. The transition to the NM&A system is a straightforward process that requires less than 3 weeks to implement.

The implementation process involves the following:

Client sends history and vendor files to NM&A for system conversion Client scans claims & eligibility forms to us NM&A administers health plan on our system NM&A sends funding request to clients on a weekly basis Client approves funding request NM&A prints check & EOB and sends them out to client or directly to employer Monthly, specialized, specific, and aggregate reports will be sent to client NM&A can also handle customer service and/or any inquiries. NM&A can also provide online eligibility and online claim status to groups.

Service Plan Overview: Dial-in and Full Service






Both the full-integration and dial-in service options reduce costs and provide more efficient claims processing for our clients. For more information regarding NM&A's claims processing services, please email info@nmatpa.com to request our online presentation: An NM&A Overview.