“PAI’s commitment to effectively managing all aspects of our account relationship is evident from the first line insurance benefit consultants through to their financial and management support team members.”
Executive Director, State Health Insurance Plan
20
Years Of
Expertise. Know-How.
Advanced Technology.
We are an experienced health insurance premium and cost sharing administrator with an impeccable record of making accurate and timely premium and cost sharing payments on behalf of Ryan White Programs.
We’ve been successfully administering federally and state funded subsidy and reimbursement programs, pre-existing condition insurance plans and reinsurance programs for over 20 years.
Benefits of Working with Us:
- Experience working with Ryan White Programs and clients
- Administrative fees as low as 5% of total reimbursements
- Dedicated account manager and service team, trained in insurance premium payment, out-of-pocket payment processing and HIPAA best practices
- Client services tailored to the needs of each program
- Focus on client’s maintenance of coverage and access to care
- State-of-the-art call center
- Statistical tracking and analysis
Complete the form below to learn more about our customized, cost-effective solutions:
PAI & Care4: A one of a kind, state-of-the-art payment system provided by a leader in the industry
Care4 is a single payment system for insurance premium subsidies and medical out-of-pocket reimbursements that have cross-validation logic. It is a secure, web-based system, with a seamless two-way interface, that can be scaled and customized based on your specific program needs.
- Daily record of payments
- APTC, Refund Tracking Capabilities
- Customized communications for better controls and tracking
- Inbound/Outbound calls, correspondence and payment tracking
- CMS data process for Medicare Part D
- Comprehensive communication between Program, PAI and other stakeholders
- Customizable real time reports