NM&A has extensive experience and a strong track record in providing health plan administration and claims processing services. NM&A is committed to providing innovative, value-driven services to health plan administration for TPAs, employer groups, insurance companies and HMOs. Our extensive resources and healthcare specific capabilities enable us to generate efficiencies and reduce costs for our customers.

Claims processing is a costly, labor-intensive, and time-consuming process that can detract TPAs from their focus of building their business. According to The Self-Insurer, claims handling contributes 90% of the total cost of maintaining a self-funded benefit program. NM&A's flexible and skilled resources aims to drastically reduce these costs, while making the entire process more efficient, ultimately generating more satisfied customers.

NM&A offers comprehensive outsourced plan administration services targeted for TPAs, HMOs, and insurance companies. By outsourcing your administrative and processing tasks to NM&A, you not only benefit from reduced operating costs, but also free valuable human and capital resources to focus on growing your business and marketing to self-funded groups. By allowing our staff to handle the administrative functions, you reduce your burdensome task of managing and maintaining a claims processing staff. Additionally, you will face less hassles related to staffing issues.

By outsourcing your administrative and processing tasks to NM&A, our clients will also gain the opportunity to expand their customer relationships by augmenting services and solutions that we offer. By maintaining a constant flow of communication with our clients and understanding their needs, NM&A is uniquely positioned to deliver responsive and professional results.

NM&A's claims processing services include:

• Claims processing, including EDI
• Medical and utilization management
• Claims payment and funding reports
• EOB/check production and distribution
• Specific and aggregate filing
• PPO re-pricing

Utilize NM&A's claims processing services to

• Reduce operating costs and increase profit margin
• Free internal resources for other purposes, such as marketing to potential clients
• Eliminate the burden of hiring, training, and maintaining a claims processing staff
• Easily handle backlogs and seasonal overflow
• Gain access to experienced, college-graduate claims examiners on an as-needed basis

Software Support & Claims Processing Services

NM&A is technology neutral, as we are versatile in our capabilities to work with different software systems. Our team is able to support all leading software providers including, but not limited to: RIMS, WLT, GBAS, Eldorado, TXEN, LuminX and Genelco.