We re more than just your traditional TPA!

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2 We re more than just your traditional TPA! About us Preferred Risk Administrators offers a wide range of TPA services. Whether you re an individual or group carrier, or a self funded group, we have what you need. Our leading staff is experienced in the managed care, health insurance, ancillary products and self funded industry. What truly distinguishes us from the competition is the fact that we are nimble, which is extremely important in the fast changing world of health care and health insurance. We have a dedicated, decisive team that provides solutions to meet your individual needs. Our commitment to quality and customer service is unparalleled in the industry. We have the flexibility to implement customized plans with robust PPO networks in a paperless, automated environment and provide the necessary reporting that allows our clients to closely monitor activities and results. Our strength is our people, our loyalty is to our clients. To hear more about PRA, please contact@preferredriskadmin.com

3 Products and Services Some of our Products and Services Include: Marketing/PR/Advertising IT Compliance Full Range of Operational Resources Claims Underwriting Case Management Billing Cobra Administration.and much more Established relationships with key business partners/vendors in the industry

4 Marketing / Public Relations / Advertising Services Marketing pieces including written material, blasts, enrollment kits Direct mail campaigns Creative design and graphics Mailroom services including assembly Print and copy services ID cards, policies, and RX discount card creation and mailing Press Releases Newsletters Wellness Communications Corporate communications, letters, announcements, etc. Brochure creation, design and print Business Cards Company letterhead Logo designs Web designs / Banner ads

5 State-of-the-Art Data Center and IT Services Your data is secure with our state of the art insurance data center. Our data center is equipped with today s standards for data center control. Restricted Key Card Access Climate Control and Monitoring EDI 4010 & 5010 for electronic claims submission Support various types of output (paper, B&W, Color, PDF, etc.) Support various means of encryption for file transfers Electronic notifications of reports and process results Various controls for security and separation of duties WEB Interface for quoting and new business WEB is VeriSign SSL Certified WEB Electronic Signature Support WEB incorporate Google Analytics Dual UPS Backup Systems and Gas Generator Multiple Internet Access Points Redundant Juniper Firewall Secured Access Standard Data Backup Practices Full IT department for programming and support Experienced programmers have a minimum of 20 years each in the industry The data center hosts applications and services for several reputable insurance companies with strict standards for insurance industry data and security.

6 Compliance is a core competency here at Preferred Risk Administrators We offer many programs to keep your organization in compliance with various aspects that go along with running a business. Some of the key advantages to working with us as your preferred TPA, is the additional value added benefits that we can provide in this area, such as.. PPACA Regulation Expertise and Guidance SERFF/HIOS Filing Legal Services Human Resource Services Employee Enrollment Leave / FMLA Coordination Short term and Long term disability COBRA Administration IRS Form 5500 Filing In addition to Compliance, Legal and HR services, PRA provides expertise in Product Design and Development Services Billing Services and Premium Collection Insurance Exchange Services we will help you get your plans listed and loaded onto website for presence on the exchange Reinsurance Placement Stop Loss Place

7 Operations Finally, Preferred Risk Administrators provides all of the operational resources that your organization needs. Our professional, knowledgeable staff can handle all of the following: Product Design and Pricing Underwriting Policyholder Services Claims Customer Service and Benefit Verification State of the Art phone system capable of call recording and storage of calls Claims Administration Paperless EDI/5010 compliant auto adjudication Forensic Reviews of Hospital Bills Grievances and Appeals Independent Medical Reviews Utilization Review, Disease and Case Management Subrogation Services Special Investigation Unit Fraud Detection Tools Network Assignment and Eligibility Out of Network Solutions Prescription Drug Programs Customizable Detailed Claims Reporting HSA Administration

8 Key Relationships, Business Partners and Vendors Over the years, PRA is proud that we have cultivated strong business relationships with many key vendors that are vital to building, supporting and maintaining a benefits program that your organization can trust and rely on. Some of our key partner are:

9 Thank you! At Preferred Risk Administrators, we have business solutions that will provide you with the cost savings and services you need, and the quality benefits administration your employees desire! Contact us at: