Phillips Administrative Service, Inc

Phillips Administrative Service, Inc. (PAS, Inc.), is a national marketing firm, located in Albany, Oregon, which specializes in the sale and service of employee benefit plans. This is accomplished as a Third Party Administrator (TPA).

For more than two decades, PAS’s main focus has been to :

provide the employer maximum flexibility in benefit design and concepts;
reduce the employer’s ongoing plan costs and liabilities while maintaining or increasing benefits;
provide efficient and accurate claims service to insured on a timely basis;

PAS has the capability to formulate and service a benefit plan that is tailored to the employer’s specific needs. In order to accomplish this goal, PAS has:

a strong management team and staff which has had a consistent success record for designing and servicing benefit plans since 1981;
an AS400 IBM computer system for claims administration, which allows greater flexibility in meeting plan design requirements;
provided it’s clients complete online access to it’s AS 400 IBM computer. This allows our clients to access non confidential claim information. PAS clients can perform additions, deletions, including billing, all on line. Employee booklets are on line, along with the appropriate PPO. Using their personal PIN, insured persons can access their individual claim files and see when a claim has been processed, how much in deductibles and co-pays have been applied. All reports are on line.
contracted with Ingenix Database, the largest clearing house for procedure and diagnostic codes in the industry. They provide up to date national procedure and diagnostic codes.

PAS provides the following services:

Medical, Dental and Vision Claim Processing

The provider sends to our office the claimants bill which shows procedure code, date of service, diagnosis code and the amount of charges. PAS processes the claims within the time frame agreed to by the employer. A check and Explanation of Benefits is sent to the provider or the patient, whichever is appropriate.

Claims Repricing

PAS sends out for repricing, all non-PPO claims over $100. PAS utilizes three national PPOs; MultiPlan, Preferred Health Network, US Health, and Quest, which is a repricing company. Of course, local PPOs in the state are also used.

COBRA and HIPAA Administration (PAS is HIPAA Compliant)

PAS will notify each individual employee and spouse of their COBRA rights using a Department of Labor approved notice. We collect the premiums and disburse to the appropriate sources.

Monthly Premium Administration

Includes separate billing by location, department, division.

Express Scripts Rx Card

(PAS has an independent administrative contract with Express Scripts where PAS processes all of our clients claims for Express Scripts, provides enrollment services, handles all of the billings, provides liaison services for all insured persons via phone and mail, has override authority and provides and prints all Rx cards for Express Scripts. Due to this contract, PAS’s clients receive prescriptions at Average Wholesale Price. Administration of card is paid by Express Scripts)

Monthly Claim Reports

PAS Prints all Booklets and Medical/Rx ID Cards

Administers Self-Insured Short Term Disability

Comprehensive Managed Care Program

Complete Flex Administration is available for a separate fee

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