Benefit Management Solutions

miBenefits

The miBenefits solution streamlines, simplifies, and improves upon the essential components of every benefit plan. At the heart of the solution is a dynamic portal that puts plan information and real-time claims and eligibility status at the fingertips of everyone who needs it, with customized views that reflect user roles.

Current members:

Get 24/7 online access to your benefit plan information! It’s quick, simple, and secure. Once you set up your account at miBenefits.com, you’ll be able to:

  • Replace a membership card
  • Find a doctor
  • Check the status of a claim
  • Refill or transfer a prescription

The core of miBenefits

  • Plan
    Administration
  • Claims
    Processing
  • Account Management
    Services
  • Member
    Services

Plan Administration

Why take the time to customize a benefit plan if it’s not going to be administered as designed? We have processes in place to ensure your plan is administered with precision and accuracy. This becomes a powerful cost-containment strategy as well. We’ve found that an accurately administered plan will save more money than one that relies solely on negotiated discounts with providers to drive savings.

EBMS benefit plan administration customization

Claims Processing

We review, adjust, and remit payment for all claims, on behalf of your plan. While we work to administer the plan accurately, we also work to contain costs through several layers of checks and balances. For example, any claims above a certain threshold are automatically sent to an on-site reimbursement analyst for negotiation.

EBMS quality accurate benefit plan claims processing

Account Management Services

Your account manager will be your single point of contact, directing every function and coordinating whatever you need with a high level of responsiveness. Superior customer service is where we shine. When you partner with EBMS, your key decision-makers will be free to focus on business, because they are no longer distracted by benefit management and compliance issues. We have thrived in this challenging industry because of our focus on stellar service.

EBMS experienced account management services Patrice Elliott benefit plan

Member Services

We know that your employees’ perception of their benefit plan becomes their perception of YOU. That’s why we strive to make every member’s experience frustration-free, with our world-class customer service. Our “one call” initiative empowers customer-service representatives to take ownership of a member’s inquiry—no matter how large or small—and to resolve it on first contact. In fact, we can proudly report a 95% one-call resolution rate.

EBMS benefit plan member customer service claim processing

In addition, you also get the core level services in our four other benefit solutions:

Click on a solution to learn more

EBMS miInsights logo benefit plan services data analytics

EBMS miChoice healthcare solutions benefit plan logo

EBMS miCare logo benefit plan healthcare solutions

 

EBMS miRx prescription benefit drug management program logo

Customize your provider network

The default provider network for EBMS plans is a preferred PPO. We also offer other options for provider networks so you can better meet the needs of your workforce. When you partner with us, you’re never stuck with a standard package.

Enhanced services include:

  • Custom PPO network
  • Ancillary benefit administration
  • Non-preferred PBM

Premium services include:

  • Medicare-based reimbursement plans
  • Cost-plus member advocacy
  • Direct provider contracting

A la carte services include:

  • Benefit communications plan
  • HSA, FSA, HRA administration
  • Stop-loss insurance

Questions?

If you have questions, please give us a call!

866-887-4112

The
miBenefits Portal

Our next-generation portal provides customized views of plan information to members, employers, brokers, and providers.

Members enjoy simplified navigation and real-time tracking of claims status and benefit usage. Employers can easily monitor plan performance, compile custom financial reports, and keep an eye on benefit usage.

The miBenefits portal puts key information at the fingertips of every stakeholder, as part of our commitment to simplifying the benefit journey.

What can the
miBenefits portal do for you?

It can help you manage your plan more easily, by:

  • Providing a statistical and financial overview of the entire group
  • Allowing you to keep a watchful eye on benefit plan assets
  • Giving you the ability to quickly generate detailed insight reports
  • Allowing you to manage workflows for tasks like enrollment, demographic changes, etc.
  • Increase employee satisfaction, because members have easy access to details about benefits and coverage

EBMS miBenefits benefit plan management broker member sponsor Rod Kastelitz

How Do I Get Started?

Contact EBMS for a full review of your current plan. We’ll give you our assessment, incorporate your wants and needs, and design a customized plan for your review. Once you approve, we’ll assign a dedicated implementation manager and put together an implementation team to manage your plan transition. In just 60 to 90 days, EBMS can be your full strategic partner.

Contact an EBMS representative today