Stop-Loss Services

AmeriHealth Administrators provides comprehensive, in-house administrative services to support your stop-loss coverage, including:

• resident stop-loss manager who negotiates on your behalf to obtain competitive stop-loss quotations and oversees arrangements with MGUs and carriers;
• stop-loss coverage for medical, prescription, dental, and vision benefits;
• stop-loss specialty unit that coordinates the work-flow process across claims operations, medical management, PPO network management, funding administration, and with the MGU and carrier;
• identification of potential large claim or case management situations;
• events and claims notification for clients and carriers;
• specific and aggregate claim reporting;
• specific advance arrangements;
• stop-loss premium billing and remittance;
• collection of recoverable amounts;
• evaluation of stop-loss options at renewal.

Our underlying proprietary technology allows a high degree of control over flexibility, scalability, and responsiveness to meet each client’s unique needs and to leverage capabilities across our customer base. We select our third-party solutions after thorough evaluation to ensure operational efficiencies, controls, and integration with our technology infrastructure.