Take the High Road to Better Benefits.
Allegiance leads you to a bold, new future in health plan administration.
Every employer group deserves first-in-class benefits and superior network capabilities.
As an industry-leading provider of self-funded solutions, we are committed to helping employer groups of all sizes control their benefit costs. Whether by leveraging our innovative cost management strategies or relying on the strength of the Cigna provider network, you’re covered every step of the way on the road to premier benefits.
Are you ready to experience a bold, new future in health plan administration?
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Health Plan Administration
Flexibility, Transparency, and People You Can Trust
For the past forty years, clients have chosen Allegiance to implement and administer unique, innovative, and complex plan designs, networks, vendor arrangements, and cost-containment solutions. We look at each client individually and develop customized solutions to deliver best-in-class cost control and a personalized and personal member experience with success verified through deep and transparent analytics.
Member Service
- Dedicated member service teams with training specific to your benefits & culture
- Integrated RN clinical experts facilitating seamless handoffs to Care Management
Member Service Satisfaction
First Call Resolution
Claim Administration
- Industry-leading claims platform technology
- Support for highly complex and innovative benefit designs
- Client Specific Network & Direct Contracting Support
- Integrated triggers for prepayment Payment Integrity and Large Claim review
Partnership Across
Your Vendors
- Integration with 100+ vendors across Pharmacy, Stop Loss, Wellbeing, Condition Management, etc.
- Expertise in sharing data with clinical partners for improved collaboration
- Ability to intake third-party data for independent point solution validation
- Warm transfer and referral capabilities
- Preferred partnerships covering a range of solutions
Care Management
Personal, Empathetic, Effective
With an in-house team of Registered Nurses and Physicians, Allegiance Care Management delivers effective management of your health plan’s most challenging medical cases. From initial pre-certification reviews through ongoing Case Management for complex diagnoses, our clinical team is there every step of the way. Through exceptional levels of inter-department collaboration, our teams ensure no stone is left unturned in the management of these situations.
Care Management Differentiators
- Direct integration between clinical, claims, member service and client service
- Inter-disciplinary risk management
- Prioritization of Peer-to-Peer engagement with treating providers
- Personalized outreach to engaged members
- RN access to advanced analytics and provider quality tools
Demonstrated Success:
84.5%
Case Management Engagement
$5.97 : $1
Allegiance Care Management ROI
Inpatient admissions and Length of Stay below industry benchmarks
Why Choose Allegiance for Reimbursement Accounts?
Member Tools
The Allegiance debit card allows easy access to stored funds along with smart purse functionality to ensure the correct account is being used. Our customers also enjoy online and mobile tools for reimbursement accounts all on one platform. The portal and app offers members a multitude of helpful features including the ability to:
- Submit reimbursement requests using a mobile device camera
- View all expenses available for payment
- Check account balances
- Scan bar codes to verify whether certain items are FSA eligible from the mobile app
Employer Tools
Our Employer portal offers access to reporting and enrollment resources. The employer benefits team can:
- Term and add member accounts
- Provide enrollment and demographic information
- Monitor salary contributions to each plan
These features ensure employers have instantaneous access to account funding and member accounts.
All employer groups are assigned a dedicated single point of contact for day-to-day issues and assistance with regulatory compliance questions. This account representative also assists employers in developing customizable tiers to assist in education and open enrollment at no additional cost.
Maximizing Reimbursement
There are many employee options for setting aside tax-free money to reimburse approved expenses - from healthcare and orthodontia to transportation and dependent care. To take full advantage of tax-free benefits, employers need an administrator with flexibility, best in class customer service, and state-of-the-art technology. Allegiance is that administrator. All tax-free reimbursement accounts are offered within one intuitive platform, offering:
- Flexible Spending Accounts
- Health Reimbursement Accounts
- Qualified Transportation Accounts
- Health Savings Accounts
- Lifestyle Savings Accounts
Allegiance COBRA
Administration and Direct Bill Services
COBRA Compliance and Eligibility
Designated Account Team and COBRA Member Support
- Designated and specifically trained COBRA Specialist assignment to each client account
- Automated eligibility administration via web-based platform
- Payment collection and tracking for all plan participants
- Timely notification to all necessary carriers to prevent disruption in coverage
Online Access
- Employer online access to view participant information, correspondence, and plan details, and enter Qualifying Events and Initial Notices
- Monthly reporting available online 24/7
- COBRA member online access to view elections and make online COBRA premium payments
COBRA Notices
- COBRA Election Notices
- COBRA Specific Rights Notices
- Participant enrollment confirmations, late notice, and termination notice administration
Retiree/Direct Billing Services
- Allegiance mails new participants a welcome letter along with monthly payment coupons
- Annual rate changes and notifications to Retiree/ Direct Bill participants
- Allegiance will notify carriers of coverage termination and send termination letter of notice to Retiree/Direct Bill participant
- Retiree/Direct Bill will have the ability to gain online access to make premium payments and view their member information