Claims Administration:
Fast processing with a 99.56% financial accuracy rating.*
*Audited by Wolcott & Associates, an independent, external auditor
Member Engagement
Integrated, whole-person platform broadening member reach, enhancing member satisfaction, and reducing costs.
FSA/HSA/HRA Administration:
Simplified management of flexible spending, health savings, and health reimbursement accounts.
COBRA & HIPAA Compliance:
Ensured compliance with regulatory requirements.
Plus:
PPO & RBP, Direct Primary Care, Virtual Primary Care
Medical, Dental & Vision, PBM Integration, Data Analytics
Health Plan Administration
Innovative Health Plan Administration for Better Healthcare Outcomes
At Boon-Chapman, we deliver fully integrated health plan administration services that empower health plans and improve population health. Our solutions are expertly designed to be flexible, customizable, and efficient, ensuring optimal outcomes for both members and employers.
Want to learn more about what our fully integrated services can do for you? Read the Boon-Chapman Overview:
Medical Management
Empower Your Healthcare Strategy with Prime Dx
Prime Dx, our premier medical management solution, is dedicated to reducing healthcare costs while improving member health outcomes. Our tailored approach ensures every aspect of member care is optimized for quality and cost-efficiency.
Ready to learn more about how Prime Dx can reduce your plan costs and provide greater member satisfaction?
Care Navigation:
Customized steerage to quality providers and surgical centers for greater customer satisfaction.
Disease Management:
Tailored programs for managing chronic conditions like diabetes and heart disease.
Utilization Review:
Rigorous evaluation of medical treatments to ensure medical necessity and early interventions.
Case Management:
Expert, personalized care coordination for complex medical cases.
Care Navigation
Transforming the Healthcare Journey One Experience at a Time
Boon-Chapman’s Care Navigation services ensure that members receive the best possible care at the lowest possible costs. Our expert team delivers concierge service to members through every step of their healthcare journey.
From the initial referral intake to post-op care, we ensure that each step is managed with precision and care, providing every member with peace of mind that they are in expert hands. Learn more about how our Care Navigation solution empowers both members and administrators:
Coordination of Surgery Schedule:
Assist members and facilities in date coordination.
Pre-Op Arrangements:
Review pre-op imaging, lab tests, and cardiac clearance.
Travel Concierge:
Coordinate flight, hotel, and car service for treatments.
Post-Op Care:
Facilitate physical therapy, wound care, and home health services.
Technology & Expertise
We combine advanced technology with human expertise to meet the specific needs of captives, insurance entities, and other benefit solutions, driving efficient, results-driven programs. Our team collaborates with you to design and implement a flexible, integrated solution that provides consistent support to your members. By partnering with us, you can focus on creating innovative products and services, while we manage the operational details.
Integration
Streamline your data integrations with our tailored, dependable solutions. We’ve built flexible systems that ensure seamless data exchange with business partners, helping companies optimize operations and boost efficiency. We simplify complex processes and provide integrated solutions for timely, accurate data you can rely on.
Our Legacy
Serving members in all 50 states, Boon-Chapman stands out as an independent TPA, delivering comprehensive services that empower health plans and improve population health. As a pioneering force in employee benefits administration for over 60 years, we combine deep-rooted expertise with innovative solutions to meet the unique needs of today’s workforce.
Our Commitment to the Self-Funding Community
As founders and leaders in the self-funded industry, we value the opportunity to meet with our peers, exchange ideas, and stay ahead of trends. Having a voice in these key organizations fills us with pride and inspiration to strive for better every day.
