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### Innovative Self-Funded Solutions for Corporate Healthcare in Kentucky ###

Explore our unique self-funded solutions tailored for corporate healthcare needs. Based in Louisville, our dedicated team ensures seamless implementation and ongoing support through efficient claims processing, customer service, and financial management. Led by experienced professionals like Terri Lacefield and Richard Preasmyer, we focus on delivering value through midwest partnerships and advanced accountability. Our monthly performance reviews and customer-centric approach ensure transparency and continuous improvement, driving savings and efficiency for our clients. ###

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### Innovative Self-Funded Solutions for Corporate Healthcare in Kentucky ###

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  1. & U K

  2. Service Units That Deliver Value

  3. Self-funded SolutionsOrganization Corporate Support (Louisville) Group Set-Up Plan Loading Leased Network Adds Billing & Enrollment Humana Self-funded Service Center • Louisville • Implementation Coordinator • Summary Plan Description • Claims processing • Customer service • Enrollment changes • Funding (finance) Medical Management

  4. Humana Self-funded Solutions Organization Terri Lacefield Director Self-funded Solutions Richard Preasmyer Finance Manager Debbie Griffith Manager KY SFS Angela Beaver Implementation Manager Charles Lashley Customer Service Supervisor Angela Bonner Claims Supervisor

  5. Dedicated Players for a Dedicated Team • Customer-centric • Group Implementation Manager • Claims • Customer Service • Group direct contact • Financial Reporting • Billing & Enrollment

  6. Performance Management Monthly 1:1 Quality Review random sample high dollar audit Creating Lasting Partnerships - Claims • Financial Operations • reporting • Dedicated ASO unit • Financial Recovery • Shared Savings • Advanced Claim Adjudication System (CAS)

  7. Example of Savings @ 20% DiscountOut of Network benefit * employer bottom line cost Total Savings = $1,624.00

  8. Kentucky Self-funded Solutions Claims Controllable Cycle Time -2001 Goal 95% Goal 90%

  9. Self-funded Solutions Claims Financial Accuracy Rates - Kentucky

  10. Self-funded Solutions Claims Payment Accuracy Rates - Kentucky

  11. Customer focused single level one-stop shopping Performance Management Monthly 1:1 Quality Review Silent monitoring Side-by-side observations Closed inquiry audit Creating Lasting Partnerships - Customer Service

  12. e-Business Enabling Member Self-service . . . Jane Doe

  13. Jane Doe e-Business

  14. Kentucky Self-funded Solutions Call Completion Rates

  15. Self-funded Solutions Answer Time (Seconds)

  16. Humana Self-funded Solutions - Service Culture • Enabled Associates • customer focus • e-technology • performance management • business and behavioral measures • S-FAC (Self-funded Action Committee) • dedicated players for a dedicated team • we love our customers • sailing to success • Built to Last . . . Solutions in healthcare needs

  17. John Komp, Dedicated Group Contact Charles Lashley, Supervisor

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