• Friday May 27, 2016

    Happy Memorial Day!

  • Friday April 15, 2016

    April 2016 Webinar

  • Tuesday March 01, 2016

    March 2016 Newsletter

  • Friday December 18, 2015

    December 2015 Newsletter

  • Tuesday November 24, 2015

    Happy Thanksgiving

  • Monday November 23, 2015

    November 2015 Newsletter

  • Friday September 04, 2015

    Happy Labor Day

  • Saturday August 08, 2015

    Planwatch Solves Reporting Struggles

    Planwatch Solves Reporting Struggles
    for Health Plans and Insurance Companies


    August 8th, 2015 Stow, Ohio – Planwatch is a product of ProServe Health Informatics, LLC. Planwatch is celebrating the 10th year of operation this year and appreciates all our Third Party Administrators, Health Plans, HMOs, Insurance Companies and Self-Administered Employer Groups, Cost Containment Organizations and Claim Adjudication systems we serve. Our product has evolved in many dynamic directions over the years which has allowed our Clients to retain and grow their block of business.

    The latest enhancement focuses on Health Plans, Insurance Companies and HMOs, struggles to provide an integrated and very powerful reporting tool for internal and external users to have the ability to “drill down” and quickly investigate critical trends and costs without disclosing proprietary discount/financial information. “In order to provide a win/win reporting tool for Health Plans, Insurance Companies and HMOs, Planwatch had to possess the ability to protect these Payor’s “secret sauce” by blinding certain financial fields dictated by user access or business line segment (Self-Funded, Fully Funded, Medicare and Medicaid etc.)“, said Georgeann Seuffert, Vice President of Sales Planwatch. “The reporting provides these Payor’s clients and brokers/consultants an easy to use, intuitive and instantly accessible reporting package that provides an invaluable tool for evaluating healthcare performance. Planwatch provides the resources and the solution to identify cost drivers, illustrate plan changes and drive engagement strategy in order to help lower health care costs in a more efficient manner.”

    Testimonial from Paramount, Planwatch’s most recent implemented Health Plan: “Paramount was looking for a web based robust reporting tool that could be tailored for all of our business segments”, said Jennifer Hunt, Director of Actuarial Services, Paramount. “ProServe provides incredible value as they have a great product in Planwatch and tremendous people working for them. We look forward to working with Planwatch as we provide support to our clients in identifying key performance drivers and metrics, map those against benchmarks and shape their employee benefit strategies to meet their evolving needs such as improving the individual experience of care, improving the health of their members, and reducing their overall plan costs.”

    About Planwatch

    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Health Plans, HMOs, Insurance Companies, Self-Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows these Payors to gain a thorough understanding of the needs of an employer population and helps make sense of ACA mandates and changes. By streamlining the reporting process, Payors are able to share this valuable detailed claim information to assist their broker partners and Clients in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling, benchmarking and disclosure reporting.

    For more information about Planwatch:
    Visit the website: www.plan-watch.com
    -or-
    Contact Georgeann Seuffert, Vice President of Sales
    (888) 275-2242 ext. 303
    gseuffert@proservehealth.com

  • Thursday August 06, 2015

    Happy 10th Birthday Planwatch!

  • Friday July 10, 2015

    Paramount Chooses Planwatch Reporting

    Paramount Chooses Planwatch Reporting to Support Decision Making for Employers, Brokers and Consultants

    July 10th, 2015 –Toledo , OH – Paramount a division of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest, selects Planwatch’s robust data analytic reporting and plan modeling tool for clients, brokers/consultants and internal staff. Paramount identified the importance for an integrated and very powerful reporting tool that would allow internal and external users the ability to “drill down” and quickly investigate critical trends and costs. “Paramount was looking for a web based robust reporting tool that could be tailored for all of our business segments”, said Jennifer Hunt, Director of Actuarial Services, Paramount. “ProServe provides incredible value as they have a great product in Planwatch and tremendous people working for them. We look forward to working with ProServe as we provide support to our clients in identifying key performance drivers and metrics, map those against benchmarks and shape their employee benefit strategies to meet their evolving needs such as improving the individual experience of care, improving the health of their members, and reducing their overall plan costs.” “Paramount performed a thorough due diligence with several reporting vendors. Planwatch was selected based on product strength and necessity, reputation and references from existing Clients – which makes Planwatch standout in the marketplace”, said Georgeann Seuffert, Planwatch Vice President of Sales. “Planwatch reporting provides Paramount’s clients and brokers/consultants an easy to use, intuitive and instantly accessible reporting package that provides an invaluable tool for evaluating healthcare performance. Planwatch will provide the resources to identify cost drivers, illustrate plan changes and drive engagement strategy in order to help lower health care costs in a more efficient manner. Planwatch looks forward to playing an important role in the many successes that Paramount will bring in business growth and retention”.

    About Planwatch

    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co- founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Health Plans, HMOs, Insurance Companies, Self-Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows these Payors to gain a thorough understanding of the needs of an employer population and helps make sense of ACA mandates and changes. By streamlining the reporting process, Payors are able to share this valuable detailed claim information to assist their broker partners and Clients in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling, benchmarking and disclosure reporting.

    For more information about Planwatch,
    visit their website: www.plan-watch.com

    -or-

    contact Georgeann Seuffert, Vice President of Sales
    (888) 275-2242 ext. 303
    gseuffert@proservehealth.com

  • Saturday July 04, 2015

    Happy Independence Day!

  • Thursday April 30, 2015

    EHUG Conference 2015

  • Thursday October 09, 2014

    American Benefit Corporation Selects Planwatch for Data Analytics and Plan Modeling

    October 9th, 2014 - Ona, West Virginia – American Benefit Corporation, an ABC Holding Company, selects Planwatch’s robust data analytic reporting and plan modeling tool for clients, consultants and internal staff. ABC identified the importance for an integrated and very powerful reporting tool that would allow Consultants to ‘drill down’ and quickly investigate critical trends. By using Planwatch as that data tool, it made it simple, accurate and provides secure methods to extend access to healthcare data to outside consultants and actuaries in order to tackle the rapid escalating cost of healthcare services.
    “ABC recognized that in order for its current clients and prospects to remain financially viable they must have the ability to manage costs effectively,” said Ryan Jones, ABC Chief Executive Officer. “In order to manage costs, one must be able to determine and provide outcomes on what are the primary cost drivers and if they fall within acceptable norms when compared to historical experience and ‘like business’ norms. The plan modeling feature allows us to make ‘on-demand’ estimates to our clients when considering plan design changes. ABC is committed to bringing the highest level of customer satisfaction and quality to our Clients – we expect that from our vendors –Planwatch was very helpful and responsive during the implementation process. By incorporating Planwatch into our daily structure, it has freed up our programmers to work on more critical issues.” “Planwatch was selected by American Benefit Corporation out of seven reporting vendors through an extensive RFP and interview/demo process,” said Georgeann Seuffert, Planwatch Vice President of Sales. “Planwatch reporting provides ABC clients and consultants an easy to use, intuitive and instantly accessible reporting package that provided an invaluable tool for evaluating their Plan’s performance. These tools give ABC a great advantage in the TPA world and help their consultants to implement strategies for lower costing health care in a more efficient manner. Planwatch looks forward to playing an important role in the many successes that ABC will bring in business growth and retention.”

    About American Benefit Corporation
    American Benefit Corporation (ABC) was created in 1948 in response to the Taft Hartley legislation surrounding collective bargaining. The company is headquartered in Huntington, WV and has additional offices throughout Ohio. ABC is a leading provider of Taft-Hartley benefits plan administration, and specialize in customizing group benefit plans for both Union and Non-Union groups and offer advanced technology solutions and capabilities. During its 66 year history ABC has primarily serviced the needs of Taft Hartley/Union groups throughout the Midwest of employee benefit experience. American Benefit Corporation has empowered clients to achieve the results they need from their employee benefit plans. For more information on American Benefit Corporation, visit their website: www.abcwv.com or contact Ryan Jones, Chief Executive Officer at 304-525-0331 or rjones@abcwv.com.

    About Planwatch
    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Insurance Companies, Self-Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population and helps make sense of ACA mandates and changes. By streamlining the reporting process, TPAs are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling, benchmarking and disclosure reporting. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 ext. 303 or gseuffert@proservehealth.com.

  • Friday April 18, 2014

    PLANWATCH AND HEALTHCARE STRATEGIES INC. ENSURE HEALTHIER EMPLOYEES & SAVE MONEY: Companies Align to Curb Healthcare Risks

    April 18, 2014 – Stow, OH – ProServe Health Informatics (Planwatch) and HealthCare Strategies Inc. (HCS) are joining forces to integrate financial and plan modeling with clinical Risk Stratification reporting to provide one of healthcare’s most comprehensive reporting and data analytics tools. Both companies are answering a demand in the marketplace for data transparency, trend analysis, budgeting, and health and wellness effectiveness. It is estimated that data analytics will save over $300 billion in health care costs in the US. Health care reform has changed the landscape of health care and understanding the trends and health of a population has never been more important. “HealthCare Strategy’s clinical dashboard and Medical Management services offer the tools to improve member health while reducing healthcare costs. By marrying our two analytic products, clients will benefit from seeing the financial details of today while forecasting clinical outcomes for tomorrow,” says Georgeann Seuffert, Vice President of Sales, Planwatch. Jan Albert, HCS’ CEO and Founder adds, “When it comes to healthcare, data-driven solutions save money and allow you to make solid decisions. Working together, we’ll identify opportunities to maximize clients’ healthcare investment. It’s a synergy that promises to bear great savings and long- lasting favorable outcomes through clinical and financial reporting.”

    About Planwatch
    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co- founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Insurance Companies, Self- Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population and helps make sense of ACA mandates and changes. By streamlining the reporting process, TPAs are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling, benchmarking and disclosure reporting. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 ext. 303 or gseuffert@proservehealth.com.

    About HealthCare Strategies
    Founded more than three decades ago, HCS has substantially reduced costs and improved the health of hundreds of employee populations nationwide.  HCS’s flagship program, HealthReach Predictive Care Management, an early entrant into the predictive modeling and healthcare data warehousing field, along with member and provider outreach, has reduced clients’ healthcare trends to single digits, resulting in hundreds of millions of dollars in savings.  HCS provides a combination of technology and clinical solutions that include provider and member technology platforms, Utilization Management, Large Case Management and a maternity program, MaterniCare. For more information about HealthCare Strategies, visit their website at www.hcare.net or email sales@hcare.net.

  • Thursday February 14, 2013

    Analytics Success Achieved between Planwatch and WLT Partnership

    CLEARWATER, FL: For over a quarter of a Century WLT Software has been an international leader in providing claims administration software, and professional services solutions. As part of the dedication and commitment to our Clients, WLT focuses on bringing top notch vendor relationships and integrated products to the forefront.

    “Due to industry demand and client requests for web based reporting, one of WLTs most successful integrations and relationships have been working with Planwatch to create a benefit plan informatics platform – BPIV2,” said Chuck Brooks, Executive Vice President of WLT Software.

    “The ease of this system is fantastic! The implementation was very smooth and with our WLT connection, it is super easy to transmit our files. Our clients have loved having this much information provided in such a user-friendly easy to understand format. Our brokers love it because it gives them the tools they need to help their client make informed decisions about their health plan and keep an eye on their healthcare costs“, said Angela Yonts, KHA. “The BPIV2/Planwatch team are top notch experts and really work with you to make sure everything goes according to plan. We are very delighted to have this to offer this to our clients and brokers.”

    “WLT went to the marketplace to evaluate reporting products that would provide Clients with an economical user friendly data analytic and plan modeling tool, while providing unlimited user access and all inclusive reporting”, said Chuck Brooks, “Planwatch was chosen and BPIV2 was born.“

    “I have never experienced such a smooth product implementation. With minimal involvement, our organization had a usable product within less than 30 days,” said Donna Pelham JFP Administrators.

    “Our clients and brokers can securely access aggregated healthcare data, with drill down capabilities, in a more efficient manner, any time and from any location 24/7/365. The reports are very user friendly and intuitive. This invaluable reporting tool will not only ease administrative functions but it will be a HUGE selling/retention advantage in the growth of our business.”

    “WLT and Planwatch took the time to develop a tested module that would transmit claims data to ease the implementation process’, said Georgeann Seuffert, Vice President of Sales, Planwatch. “This proven solution has generated many recent implementations and excitement among the WLT users. Everyone involved in the BPIV2 product are committed to bringing an efficient health plan management tool.”

    About WLT Software

    WLT Software is an international leader in developing advanced benefit plan administration and claims adjudication software for Insurance Companies, Government Employee Plans, TPAs and Self- Administered Groups. WLT’s philosophy of Client Directed Development provides the flexibility to meet the unique needs of each client and proactively adapt to changes and trends in the Benefit Administration industry.

    WLT’s core systems were developed with the understanding that every organization has its own unique needs and requirements. Whether administering multiple plans covering millions of lives or one plan covering a small group, its scalable solutions can be tailored to fit the organization’s needs. For more information, visit www.wltsoftware.com

    ABOUT ProServe Health Informatics

    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co- founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Insurance Companies, Self-Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population. By streamlining the reporting process, TPAs are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling and disclosure reporting. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 ext. 303 or gseuffert@proservehealth.com.

  • Thursday April 05, 2012

    Benefit Management, Inc. Implemented Planwatch for Reporting on Actionable Data and Plan Modeling

    Stow, Ohio, April 5th, 2012 – Benefit Management, Inc.(BMI) has implemented Planwatch to offer their clients an in-depth, real time, claim analysis, disclosure reporting and plan modeling application. By implementing Planwatch, it has enabled BMI to streamline the reporting process and provide the resources necessary to monitor and maximize a plan’s performance while minimizing plan expenditures. These vital resources, imperative in today’s market, will allow BMI to deliver reviews more effectively and efficiently - leading to greater client persistence and satisfaction.

    “Planwatch has played a crucial factor in the growth and retention for all our current TPA relationships block of business. BMI recognizes this value proposition and understands the important role Planwatch plays in their day to day reporting operations.” said Georgeann Seuffert, Planwatch Vice President of Sales. “By implementing Plawatch, it will grant BMI’s clients and broker partners an easy to use, intuitive and instantly accessible reporting package that provides an invaluable tool for evaluating their plan’s performance. Most importantly, Planwatch will aggregate actionable data and allow BMI to present detailed claim information in a way that every client can understand and use the data as leverage to improve plan design and performance.”

    “The partnership with Planwatch will provide information to our clients that have not been readily available at a moment’s notice in the past,” said Mike Minton, BMI Vice President of Sales. “The tools give BMI a great advantage in the TPA world and help our brokers to implement strategies for lower costing health care in a more efficient manner. BMI looks forward to the many successes that Planwatch will bring in business growth and retention”

    ABOUT Benefit Management Inc.: Benefit Management Inc. (BMI), located in Great Bend, Kansas with offices in Overland Park and Wichita, Kansas, provides customized, high-quality health benefits administration programs to self-insured companies, association plans and to state and federal high risk pools nationwide. Founded in 1995, BMI has more than sixteen years of experience and has become one of the Midwest’s leading third party administrators (TPAs), with a reputation for flexibility, innovative services, outstanding customer service, and other unique advantages. BMI currently administers benefits for 45,000 lives nationwide ranging from small employers with a single location to national employers with multiple work sites across the country. BMI is recognized as the leading TPA for state and federal high risk pool administration serving Kansas, Iowa, Alaska, Washington and New Hampshire. For more information about BMI please visit www.bmikansas.com or contact Mike Minton, Vice President of Sales and Marketing, at (800) 290-1368 or mminton@bmikansas.com.

    ABOUT ProServe Health Informatics: Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators, Insurance Companies, Self-Administered Employer Groups, Stop Loss Carriers, Cost Containment Companies and Claim Adjudication Systems. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population. By streamlining the reporting process, TPAs are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling and disclosure reporting. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 ext 303 or gseuffert@proservehealth.com.

  • Thursday March 08, 2012

    Employee Benefits Administrators Inc. Chooses United Claim Solutions Bill Auditing and Data Analytics

    Phoenix, Arizona March 8, 2012 – Employee Benefits Administrators Inc. (EBA) has implemented United Claim Solutions’ (UCS) front-end bill auditing and private labeled data analytic reporting application, WatchDog. Integration of these two products will assist EBA in addressing the control, risk and quality of service concerns that are an inherent problem in third party claims administration. In today’s volatile healthcare market, utilizing WatchDog will streamline the reporting process and provide EBA with the resources necessary to illustrate claim management program savings, monitor and maximize a plans performance while minimizing plan expenditures.

    “Our TPA clients came to us looking for an integrated, turnkey approach with simple, accurate and secure methods to tackle the rapid escalating cost of healthcare services”, said Joshua Carder, President of United Claim Solutions. “By piecing the healthcare puzzle together and consolidating these services, our clients can now monitor the claim from billing to payment to reporting to address the challenge of the never ending insurance cycle while lowering their operating costs”.

    “EBA began using UCS for PPO Network administration and non-par claims processing, and it has turned into a lot more than this now. UCS’s bill auditing has been very beneficial not only to EBA, but to our clients. This processing has saved our clients REAL money”, said Pamela Gibson, President of Employee Benefits Administrators, Inc. ”WatchDog reporting is a powerful tool that gives EBA drill down capabilities to report to our clients on how to maximize their plans, to save added cost for both the employer and employee. The on-line, web based reporting is user friendly and allows our clients to see the overall performance of the plan. Reporting includes network utilization, trending by categories, detailed plan modeling, accurate disclosure to reinsurance carriers, and so much more. EBA has been extremely satisfied with UCS and WatchDog reporting, and would recommend their services to other TPAs.”

    ABOUT Employee Benefits Administrators Inc: Employee Benefit Administrators Inc. (EBA) is a full service benefit administrator of health and welfare plans for active and retired employees. Employee Benefits Administrators Inc., located in Elizabethtown, KY, was formed in response to a rapidly changing healthcare industry. EBA utilizes EBIX’s system integration capabilities and technology platform to process claims efficiently, behind the scenes, to provide better service to employees and employers. Realizing that one insurance company could not meet all healthcare needs, EBA put together a team of professionals with many years of third party administration experience. This makes it possible for EBA to help gain control of healthcare dollars by providing clients viable and validated options and guidance in developments.

    ABOUT United Claim Solutions: United Claim Solutions (UCS), headquartered in Phoenix, AZ, is a leader in medical claim savings utilizing proprietary technology. UCS provides comprehensive savings for clients through PPO Network Administration, Out-of-Network Discounts, OCR Services, Bill Auditing, Claims Editing, Data Warehousing, Data Risk Analysis, and Medical Management Services. Clients interface with UCS through an online claim submittal and reporting system, United Claim Xchange (UCX), or through HIPAA complaint EDI transactions to reprice both in-network and out-of-network medical claims. To ensure legal compliance and maximum privacy, all services are handled through one location in Phoenix, Arizona. The Phoenix-based healthcare savings company directly services over 80 clients representing more than 5,000 businesses nationwide. For more information about UCS please visit www.unitedclaim.com or contact Carolyn Carder, Vice President of Sales and Marketing, at (866) 762- 4456, Ext.106 or ccarder@unitedclaim.com.

  • Tuesday July 27, 2010

    Professional Benefits Services Chooses United Claim Solutions WatchDog’s Real Time Data and Risk Analysis Tool

    Phoenix, Arizona July 27, 2010 – Professional Benefits Services (PBS) implemented United Claim Solutions (UCS) private labeled reporting product, WatchDog, to offer clients an in-depth real time claim analysis, disclosure reporting and plan modeling application. In today’s volatile healthcare market, this private labeled product, using the Planwatch platform, will streamline the reporting process and provide Professional Benefits Services with the resources necessary to monitor and maximize a plan’s performance while minimizing plan expenditures.

    “Our smaller to mid-sized TPA clients came to us looking for a high quality data and risk application that was affordable yet user friendly”, said Joshua Carder, President of United Claim Solutions. “With the level of sophistication our proprietary system brings to our clients, it was imperative to bring a private labeled data and risk analysis application of the same quality to the table. By piecing the healthcare puzzle together, our clients now can monitor the claim from billing to payment to reporting to help fight against the never ending insurance cycle”.

    “Over the course of three years, PBS has been actively searching for a user friendly reporting package that includes the capability of producing real time reporting and plan modeling for our customers. United Claims Solutions listened and brought WatchDog under their umbrella of services”, said Tom Gottlick, Professional Benefits Services Vice President of Operations.

    “The uniqueness of the WatchDog reporting tool is it utilizes weekly claim loads versus just once a year. Our clients and brokers love the fact they can access this data within minutes at anytime and from any location and not have to wait for yearly updates for this vital information. The plan modeling tool has helped our customers on several occasions to achieve a zero increase renewal due to the ability to share actual plan modification savings to our stop loss partners. The staff at UCS and WatchDog is incredible. They have brought my three year journey to an end which has allowed me to focus and grow my block of business.”

    ABOUT PROFESSIONAL BENEFITS SEVICES: Professional Benefits Services (PBS) is a full service benefit administrator of health and welfare plans for active and retired employees. PBS is fully compliant with legislated regulations (HIPAA) and is constantly monitoring new concepts in health care delivery, wellness and cost conservation. Clients have access to the most advanced technology in the healthcare industry, contemporary plan design options, knowledge of emerging concepts and patterns in the health and welfare industry, and flexible customization which positions PBS in the top ranks of benefit administration outsourcers. PBS provides products and services competitive with large carriers offering ASO services. Clients realize immediate savings in administration costs, ongoing savings in claims experience and significantly reduced FASB and GASB liability for retirees. Clients take advantage of many ancillary services, report designs and enrollment features without hidden extra charges. PBS can provide turnkey administration, seamless transition from the current administrator, or remove costly administration of benefits from a Human Resource function. For more information about PBS services please visit www.professionalbenefits.net or contact company President Howard Lancaster at 616-285-2480 or hlancaster@professionalbenefits.net.

    ABOUT UNITED CLAIM SOLUTIONS: United Claim Solutions (UCS), headquartered in Phoenix, AZ, is a leader in medical claim savings utilizing proprietary technology, PPOs (Preferred Provider Organizations) and negotiations to deliver significant discounts on group health and workers’ compensation medical bills. Clients interface with UCS through their online claim submittal and reporting system, United Claim Xchange (UCX), or through HIPAA complaint EDI transactions to reprice both in-network and out-of-network medical claims. UCS’s integrated approach to cost containment has a significant impact on the overall management of benefit costs and will help control the increased annual rate in healthcare spending. The Phoenix-based healthcare savings company directly services over 80 clients representing more than 5,000 businesses nationwide. For more information about UCS please visit www.unitedclaim.com or contact Carolyn Carder, Vice President of Sales and Marketing, at (602) 863-1759 or ccarder@unitedclaim.com.

  • Wednesday July 29, 2009

    WLT Introduces BPIV2 to Enhance Benefit Management Efficiencies

    Clearwater, Florida, July 21st, 2009: WLT is pleased to announce the release of the latest supplemental product BPIV2. BPIV2 is a powerful web-based tool providing customized health plan data and analysis - past, present and projected. Developed to maximize the performance and minimize the cost of employer funded plans. BPIV2 details costs, identifies trends, creates plan modeling outcomes, simplifies the disclosure process, evaluates change and performs a multitude of additional data analysis tasks quickly and easily. It blazes a new trail in benefit management efficiency and delivers results to the bottom line.

    This newly private labeled product, using the Planwatch platform, is a powerful benefit plan informatics tool that uses a report-oriented approach to provide in detail, a financial overview of claims data in more than 20 categories. All reports are retrievable on demand and include easily interpreted information for use in confirming a plans performance and where plan modifications may be warranted. A data exploration with drill-down capabilities and trend component compliments the reporting features by enabling in-depth benefit inspection down to the specific charge level while evaluating trends by specific benefit categories.

    “We are excited about the availability of the BPIV2 interface. WLT customers will experience greater efficiencies. This interface allows WLT customers to identify cost drivers and specify how, when, and where money is being spent. As user friendly as it is versatile, BPIV2 makes it easy to discover, verify, and adjust health plan related expenditures.” said Tom Brooks, CEO of WLT Software.

    ABOUT WLT Software: For over a quarter of a Century WLT Software has been an international leader in providing claims administration software, and professional services solutions. Developed with innovative and advanced technology, WLT’s claims administration software is designed to provide fast and accurate real-time claims processing. WLT’s success has been built not only on its technological expertise in systems development and enhancements, but also on the consistency of quality and personalized support our service team provides to our Clients. It is this foundation that has positioned WLT where it is today, one of the leading insurance software and service providers in the world. Visit http://wltsoftware.com for more information.

    ABOUT BPI V2: BPI V2 is powered by WLT using the Planwatch platform. Planwatch is a product of ProServe Health Informatics. Development began in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators. This web based BPI V2 product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population. By streamlining the reporting process, TPA’s are able to share this valuable detailed claim information to assist their broker partners in proper claims management. BPI V2 reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling and disclosure reporting.

  • Monday January 05, 2009

    United Claim Solutions Partners with Planwatch On-Demand Reporting to their Cost Containment Solutions

    Stow, Ohio, Jan. 5th, 2009 – ProServe Health Informatics announced today a definitive agreement with United Claim Solutions to add the complete Planwatch reporting package as an additional product solution to assist their TPA partners in the discovery, verification and adjustment of detailed claim information. This value added service provides United Claim Solutions TPA partners with the resources necessary to monitor and maximize a plans performance while minimizing plan expenditures.

    “We welcome the opportunity associated with forming a strategic business partnership with Planwatch,” said Joshua Carder, President, United Claims Solutions. “We are excited to work with Planwatch to provide the leading edge health data analysis and reporting packages to our clients. Planwatch blazes a new trail to benefit management efficiency and delivers results to the bottom line.”

    “We are pleased to partner with a leading organization that realizes the challenges that health care payors are facing today. By offering Planwatch reporting as an additional product offering it will assist their TPA partners in identifying and quantifying cost containment programs with ease,” said Georgeann Seuffert, Vice President of Sales at Planwatch. “By decreasing the amount of time required to access valuable detailed claim information, United Claim Solutions TPA partners are able to spend more time with their brokers/plan sponsors on proactive cost containment solutions and plan modifications.”

    ABOUT UNITED CLAIM SOLUTIONS: United Claim Solutions (UCS), headquartered in Phoenix, AZ, is a leader in medical claim savings utilizing proprietary technology, PPOs (Preferred Provider Organizations) and negotiations to deliver significant discounts on group health and workers’ compensation medical bills. Clients interface with UCS through their online claim submittal and reporting system, United Claim Xchange (UCX), or through HIPAA complaint EDI transactions to reprice both in-network and out-of-network medical claims. UCS’s integrated approach to cost containment has a significant impact on the overall management of benefit costs and will help control the increased annual rate in healthcare spending. The Phoenix-based healthcare savings company directly services over 80 clients representing more than 5,000 businesses nationwide. For more information about UCS please visit www.unitedclaim.com or contact Carolyn Carder, Vice President of Sales and Marketing, at (602) 863-1759 or ccarder@unitedclaim.com.

    ABOUT ProServe Health Informatics: Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population. By streamlining the reporting process, TPA’s are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling and disclosure reporting. For more information about Planwatch, visit their website: www.plan- watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 or gseuffert@proservehealth.com.

  • Monday January 28, 2008

    Capitol Administrators Chooses Planwatch to Enhance Benefit Management Strategies

    Stow, OHProServe Health Informatics announced a definitive agreement with Capitol Administrators to utilize the complete Planwatch reporting package as a solution to assist in the discovery, verification and adjustment of detailed claim information. This value added service provides Capitol Administrators’ broker partners/plan sponsors with the resources necessary to monitor and maximize a plans performance while minimizing plan expenditures.

    “At Capitol Administrators, we felt we needed to change our standard report package to be more of an informative nature instead of just presenting data. We felt our clients and consultants needed a better high level overview of their benefit plans in an easy to understand presentation format and a simpler method to depict areas of the plan that may need attention”, said David Reynolds, President and CEO of Capitol Administrators. “At the same time, we wanted to offer both modeling and trending capabilities, to allow for improved planning for future benefit changes and their respective impact. Our reporting team felt that Planwatch offered the tools we needed to provide our brokers and consultants the power needed to make the analysis of their respective plans less cumbersome.”

    “We are pleased to welcome Capitol Administrators into our family of Third Party Administrator partners,” said Georgeann Seuffert, Vice President of Sales at Planwatch. “By decreasing the amount of time required to access valuable detailed claim information, Capitol Administrators and their broker partners are able to spend more time with plan sponsors on proactive cost containment solutions and plan modifications. We look forward to providing them with the greatest access to health care cost information.”

    Planwatch’s newest feature, Risk Analysis/Disclosure Reporting, will also be added to Capitol’s reporting portfolio. Capitol recognizes the key to an effective disclosure process is finding the balance between too much and not enough claim information. Risk Analysis allows for the most up-to-date, accurate, disclosure and provides detailed reporting with drill down capabilities, to help identify the diagnosis of large claimants.

    About Capitol Administrators

    Located in Rancho Cordova, Capitol Administrators (CA) with affiliated operations in Atlanta, GA, and Irving, TX, Capitol Administrators is a Third Party Administrator that has embraced an employee benefit management company model. Capitol Administrators understands that in today’s environment, it requires more choices and more complex benefit strategies, therefore advanced technology is required for any managed care administrator. Capitol Administrators serves both the self-funded employer group market and government benefit applications. Their approach combines a commitment to exceptional service with an experienced management staff and leading edge technology. Capitol Administrators’ ability to interact with myriad PPOs and insurance carriers allows them to provide self-funded employers with individually tailored managed care plans that control costs and manage the quality of care. Visit www.capitoladm.com.

    About ProServe Health Informatics

    Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis and reporting system for Third Party Administrators. This web based product allows Third Party Administrators to gain a thorough understanding of the needs of an employer population. By streamlining the reporting process, TPAs are able to share this valuable detailed claim information to assist their broker partners in proper claims management. Planwatch reporting packages include on demand reporting, comprehensive analysis, data exploration, historical plan modeling and disclosure reporting. Contact Georgeann Seuffert, V.P. Sales, at 234-542-3030 and visit www.plan-watch.com.

  • Monday October 29, 2007

    Risk Analysis: Disclosure and Reporting, Simplified

    Planwatch gains a major addition today with Risk Analysis - fast, accurate disclosure and reporting for partially funded health plans and their stop loss carriers / MGUs.

    Nearly all stop loss carriers now require an employer disclosure before offering a new or renewal quote. Don’t let the growing demand for more detailed and timely disclosure information put a strain on staff - meet new disclosure challenges head-on. An efficient disclosure process means better quotes and creates choice for the sponsor, while an unorganized process can result in higher premiums and can potentially lead to future claim denials.

    Immediately Understandable

    The Disclosure Listing has great depth and accuracy, is beautifully presented, and can be run in as little as one minute. Included in the list are all known participants who have exceeded a customizable dollar threshold, received certain diagnoses, are known high-risk / complex care cases, have incurred disability related claims or who are currently involved with case management … all in a detailed yet intuitive format:

    The Disclosure List is based heavily on the SIIA and SPBA endorsed standard stop-loss disclosure form and ICD codes set. A 2006 Ernie Clevenger / MyHealthGuide Newletter article reported that 70% of the self-funding stop-loss market (representing over $2.3 billion in stop-loss premium) had adopted the standard form. In 2005, SIIA conducted a survey of 112 members of the self-funded community that resulted in 86% favoring adoption of the standard.

    You’re In Control With Drill Down

    Striking a balance between providing too much and not enough information is key to an effective disclosure process. That’s why we included advanced Drill Down capabilities in the design from day one. Click on any participant or trigger and receive detailed claims activity:

    Without enough information, the underwriter is forced to assume the worst about the group’s potential future experience, leading to higher attachment points and premiums. With too much information, the underwriter is overwhelmed with irrelevant data, making it impossible to establish the most important contributions to the overall experience. Drill Down provides the best of both worlds and the worst of neither: a relevant and timely disclosure list and the ability to selectively control additional detail.

    Plays Well With Others

    Give underwriters, actuaries, and even nursing staff secure access over the web with a variety of collaboration controls, like limiting a user’s access to specific groups, or configuring Create and View vs View Only access to certain types of reports.


    And That’s Only The Beginning

    Of course, every aspect of Risk Analysis supports exporting to Excel so you can still pass files around in email or print a hard-copy when required. You can even export a multiple-worksheet version that includes each of the Risk Analysis reports in a single file for easy offline analysis.

    In additional to the Disclosure Listing and Drill Down capabilities, Risk Analysis also includes other reports commonly requested by underwriters and MGUs:

    • Active Member Census: Provides detail on each currently active participant, including the member’s date of birth, age, gender, enrollment date and geographic location.

    • Age Banded Census: Shows the number of participants by age band and gender that are active in each of the following types of plans: Single, Single and Spouse, Single and Other, and Family.

    • Historical Claims and Active Lives Report: An account of the number of participants enrolled in Single, Family and Dental plans along with the total amount paid in Medical, Dental, Vision, and Rx coverage each month over a three-year period.

    For more information on Planwatch Risk Analysis or the standardized disclosure form, please consult the following resources:

    Planwatch Risk Analysis is immediately available for all new and existing customers.

  • Sunday October 21, 2007

    New: Paid Claims Distribution for Claims Review

    You know how you’re always telling clients that more than 80% of spending will go to less than 20% of the covered population? That one of the most important goals a self-funded group can take on is keeping well / moderate risk members out of the high risk / complex care tier? Now you can show the exact impact of the 80/20 rule to a program’s bottom line with Paid Claims Distribution for Claims Review:

    Claimants are grouped into one of fifteen expense bands ranging from $250 to $1 million. The chart then plots the percentage of members in each expense band against the percentage of plan expenditure for the same. Cumulative values make it easy to establish how closely the plan is following the 80/20 rule and whether action is required to help control spending.

    Please see the Planwatch Documentation for additional information. Paid Claims Distribution is immediately available to all new and existing users.

  • Wednesday August 29, 2007

    Event: SIIA Conference, October 29, Chicago

    ProServe Health Informatics will be an exhibitor at the Self-Insurance Institute of America’s (SIIA) 27th Annual National Educational Conference & Expo in Chicago from October 29 – November 1, 2007. Stop by Booth 343 for a demonstration of the full range of Planwatch capabilities, including a new set of Risk Analysis Reports providing fast, accurate disclosure and reporting for underwriters and MGUs.

    About Planwatch.

    Planwatch is a powerful web-based tool providing a dynamic suite of analysis and reporting capabilities in a user-friendly format. Customized data and analysis is retrievable on demand – down to the basic charge level – in more than 20 categories. Reports include easily interpreted information for use in assessing what is being done right and where health plan modifications may be needed. With its ability to maximize performance and minimize the cost of employer-sponsored health plans, Planwatch improves benefit management efficiency and delivers results to the bottom line.

    About the SIIA conference.

    The SIIA Conference and Expo takes place at the Sheraton Chicago Hotel & Towers from October 29 – November 1, 2007. It is the world’s largest event dedicated exclusively to the self-insurance/alternative risk transfer industry and offers a cutting-edge educational program combined with unique networking opportunities and a large tradeshow of products and services.

    Planwatch. Booth 343.


  • Wednesday January 24, 2007

    Launch: The Health Benefit News River

    Over the past year, we’ve seen a huge increase in the amount of quality health care related content being published on the web. After trying a variety of desktop and web based news aggregators, we found that a simple River of News had the most impact in enabling and encouraging our team to keep up with the wider industry. This was so successful as an internal experiment that we decided to see if the site might be useful to a wider audience.

    While our primary goal is to provide a low barrier tool that makes it easy to find and keep up with the health blogosphere, we also plan on providing resources to assist individuals and organizations in publishing for the web. In the future we will be adding links to publishing tools, articles covering best practices for syndication, and information on content licensing.

    Please contact Ryan Tomayko if you would like to be syndicated; we are especially interested in individuals and organizations publishing content related to providing, processing, or managing health benefit plans (e.g., TPAs, Brokers, Insurers, HR personnel, and Technology Vendors).

    For more information on the history, technology, and goals behind the project, see About The Health News River.

  • Thursday January 18, 2007

    Spotlight On: Data Exploration with Drill Down

    When we began building Planwatch, the focus was primarily on creating a great set of high level reports. It became obvious early on that these reports, while highly informational on there own, would also be perfect starting points for deeper analysis and data exploration. These ideas would shape much of the architecture and design of the system and led to the adoption of tools and techniques commonly found in Data Warehousing.

    Drill down is the first of many features that takes advantage of the underlying analytics engine and brings Planwatch firmly into the realm of modern Business Intelligence software.

    In its simplest form, “drill down” means nothing more than “give me more detail.”

    High level reports condense large amounts of claims activity into easily digestible summaries - a ten-thousand foot view of your plan’s performance, if you will. While these reports tell you a lot about your overall plan performance, they often lead to additional questions that require a more detailed look at specific activity. Drill down lets you instantly drop down a few hundred feet to get a slightly more detailed view of activity. If the question is still unanswered, you can drill down further still, in small or large increments, until the answer is apparent.

    Let’s take a look at a specific scenario …

    Read More →

  • Thursday September 14, 2006

    Enhanced Design and 20x Increase in Processing Speed

    Proserve Health Informatics upgrades the design of Planwatch with enhancements in: high resolution printed reports, a la cart printing features and processing speed.

    A focus on user centered design led to upgrades on the look and feel of Planwatch. You utilize the precision and simplicity of the graphical report convey complex analytical information, and we have improved the quality of those reports. The reports now feature a variety of graph styles and maintain high resolution both online and in print.

    We also took your time into consideration and added a la cart printing and increased the processing speed of the Plan Modeler. You can now completely re-adjudicate claims 20x faster than before and print specific graphs rather than the entire report.

    Planwatch provides the platform that allows TPAs to offer analytics as a service. You have complete control over user access as well as the ability to blind data when necessary. Specific access parameters are automatically set when users are designated as:Administrator, Broker, Sponsor, or Account/Sales Representative.

    Take a moment to view Planwatch and see how simple it would be to add powerful analytics as a service.

  • Friday June 23, 2006

    Planwatch Launches Plan Modeler with Readjudication Engine

    The Plan Modeler allows for the optimization of benefit plans with the complete re-adjudication of historical claim sets. Create various plan structure combinations in just a few clicks. Generate corresponding reports to view the financial impact of each plan dimension against the current plan. Show plan sponsors how and where changes to their plan will save them money.

    Using the Plan Modeler, administrators are able to design hypothetical, or “what if,” benefit programs and completely readjudicate historical claim sets in order to better gauge the impact of specific modifications.

    After a plan model’s claims are readjudicated, the simulated claims activity is analyzed and compared with historical claims activity to produce three reports:

    • Overall Comparison Analysis - provides a high level overview of change between the actual claims activity and modeled claims activity. This includes deductible, copay, coinsurance, ineligible charges, and plan contributions.

    • Benefit Comparison Analysis - shows the amount of change between actual and modeled plan broken down by benefit category.

    • Member Disruption Analysis - determine which members are likely to be impacted by the simulated changes and by how much.

    Information gleaned from these reports can be used as evidence for (or against) proposed plan changes. The TPA or broker is able to present complex analytical findings using intuitive interactive reports. Plan sponsors can use reports to eliminate apprehension and ensure the new plan is utilized effectively.

  • Thursday March 23, 2006

    Live Website Demonstrations Now Available

    Proserve Health Informatics begins website demonstrations detailing their claims analysis software, Planwatch, for Third Party Administrators (TPAs) and the self funded market.

    We are pleased to now offer live website demonstrations. If you have been reluctant to contact us with questions due to time constraints, you can now contact us and schedule a convenient time to have a website demonstration and a Q&A session. Please allow for approximately 30 minutes.