HMA’s team of industry experts deliver the highest levels of claims adjudication, customer service, case management and many other services surrounding our flexible self-funded plan designs.
HMA Rx delivers national accessibility with convenient, cost-effective options to prescription drugs. Our specialty drug programs help clients manage the prices of costly drug therapies.
Safe and secure banking and fiduciary solutions add value to any benefits package through consolidation, accuracy, and financial protection with a centralized electronic benefits payment service.
Ancillary products allow employers to offer their employees a complete benefits package based on the unique needs of their workforce, which include dental, vision, telemedicine, and other health care solutions.
HMA always ensures that all benefits are in compliance with any applicable rules and regulations. You can rest easy that your plan is maintained within all state and federal regulations.
We provide a variety of provider network solutions that make it easy for employers to gain deeper insight into their plans. Our provider network plans can be customized using our preferred vendors or those of our clients.
HMA delivers advanced reporting and analytics tool for self-funded employers and producers. Our team helps provide insights into each plan and suggestions to support your plan goals.
Stop loss insurance solutions provides cataclysmic protection for our self-funded medical and specialty prescription drug plans. Flexible options are available based on group size and budget.
COBRA administration can be complex and time-consuming. HMA has solutions to administer COBRA program benefits, including compliance, financials, and reporting on behalf of our clients.
Advanta provides both pre-service and post-service patient support for members needing care under their value-based pricing program.
Once a case reimbursement agreement is established, our team of advocates are always standing at the ready to assist patients in scheduling.
The Advanta team manages all certifications and pre-authorization referrals for the patient receiving care.
Patient advocates work directly with providers prior to perform any services and negotiate and agree to reimbursements defined by the plan benefits.
In rare instances when a provider does not accept the defined benefit reimbursement, Advanta will provide alternative options for care that will accept the defined reimbursement.
In rare cases where patients receive a balance bill, Advanta’s experienced team will work directly with the provider to resolve the bill and relieve patients of any additional financial liability.
HMA’s detailed claims analysis showcases the financial savings that a VBP plan can deliver to any employer group. This report determines the exact pricing for claims based on actual claims billed and claims paid with an established Medicare reimbursement for each inpatient and outpatient service. To request a claims analysis for your business, please click the link below.