BRMS Employers Services

Employers

We build trusted and valued relationships with you, so you can build trusted and valued relationships with your employees. With personalized service on custom-designed employee benefit plans and easy online administration, BRMS manages employee benefits from start to finish.

It is our technology and our people that set us apart.

Online Eligibility Administration with Vbas

Vbas - Virtual Benefits Administration SystemStandard Vbas service includes Centralized Benefit Information & Data Management, Carrier EDI (Electronic Data Interchange), Online Communication, Automated Eligibility, Online Open Enrollment, Employee Self-Service, Reporting, and Consolidated Billing.

Vbas reduces processing costs by allowing you to store, access, administer, track, and manage your data online, securely accessible 24/7. And with Vbas, employees are empowered to manage their own benefits with online enrollment and self-service.

Claims Administration

Data Warehousing & ReportingFrom receipt to eligibility to negotiation and payment, we handle the entire claims administration process.

Completely centralized, all claims, medical management, PPO network management, and billing is managed in-house, allowing us to provide you with flexible and quick service with a unique touch.

FSA and HRA Administration

FSA and HRA AdministrationNobody knows more about saving benefit dollars than BRMS. We help you develop and administer Flexible Spending, Health Spending, and Health Reimbursement Accounts - tax-effective choices for managing health-related expenses to reduce both your and your employees' healthcare expenses.

COBRA/ HIPAA Administration

COBRA/ HIPAA AdministrationAt BRMS, we are your remedy to complex laws and burdening healthcare legislation that can interfere with your core business.

We employ seasoned COBRA- and HIPAA-educated professionals to perform appropriate administrative and compliance tasks to protect your organization - and we do it with friendly, prompt customer service.

TPA Auditing Services

TPA Auditing ServicesWhen you choose BRMS as your TPA, we can collect and review your previous TPA's data, audit claim activity for accuracy, and reimburse recovered funds.

Claim procedure auditing on prior administrators determines compliance, assesses timeliness of claims payment, determines monetary penalties, evaluates accuracy of payments, and assesses for potential fraudulent and abusive claim submissions, duplicates and other errors.

Customer Support Call Center

Customer Support Call CenterAccessible via a toll-free number, 11 hours a day, our Call Center representatives can answer any employer or employee benefits questions on any data that is housed in Vbas.

All our customer support representatives are based in-house and fully integrated, with regular interaction at all levels to insure we are all working together as one united team.

Risk Assessment and Insurance Underwriting

Risk Assessment and Insurance UnderwritingBRMS specializes in asset protection and cost containment - proactively identifying and controlling your healthcare risk.

We excel in alternative strategies to manage your risk, such as self-funding, expert underwriting and placement of reinsurance and stop-loss (if required), and affordable fully-insured coverage with leading healthcare insurance providers.

Protect Your Investment with BRMS Medical Management

We have a unique approach to medical management. We begin by building a partnership with our clientele, thoroughly analyzing and understanding the unique challenges they face. We then apply cutting-edge cost containment methods, reducing costs while maintaining a quality employee benefits program.

We provide comprehensive medical management services through a professional staff of physicians and nurses who are highly qualified in cost management issues including quality assurance standards.

Medical Management and Utilization Review

BRMS Utilization ReviewBRMS' Utilization Review program combines the expertise of registered nurse reviewers to ensure you are optimizing your benefits plan. BRMS works with board certified Medical Directors and practicing physicians to help direct patients and providers toward the most cost-effective, quality-driven treatment available.

Our Utilization Review services use established national medical guidelines to evaluate the medical necessity for hospitalizations, outpatient services and appropriateness of overall treatment plans.

Data Warehousing & Reporting

Data Warehousing & ReportingBRMS' reports identify trends in healthcare spending (a macro view) as well as opportunities for specific member level care improvement/cost avoidance (a micro view). We provide guidance for evaluating health plan performance, benefit planning, areas of cost avoidance, and clinical intervention opportunities.

Our reports include a summary of your health plan, its membership, and the complex array of clinical and medical resources that serve that membership. These reports provide meaningful insights into how benefit plan design can be positively impacted.

National PPO Network Management

PPO Network ManagementBRMS provides access to the most comprehensive Preferred Provider Networks nationwide. We provide or maintain networks by contracting with high volume providers identified by the client or by geographic location.

Our close partnerships with various networks across the nation ensure you have the best access and best provider reimbursement rates and fees to maximize plan savings. In addition, we establish discounts with those providers who are not preferred through contact and negotiation on individual claims.

BRMS Learning Center

BRMS Learning CenterBRMS strives to bring you the most up to date information on healthcare and healthcare reform. The BRMS Learning Center provides with the latest articles that pertain to the health and well-being of your employees and their families. BRMS encourages members to check the BRMS Learning Center frequently for new posts and articles.