Exceptional customer service at Katz/Pierz is more than a process, system or procedure…it’s an attitude and philosophy that is demonstrated at every point of customer contact. From having a friendly person answer your calls, to providing accurate answers to employee questions, all the way to timely resolution of complex problems...Customer First! is the foundation of everything we do.
Customer First! combines technology with responsive, caring, personal service.
BeneCenter gives members 24/7 online access to benefit information.
Calling Customer First! gives members one-on-one, personal assistance from an experienced advisor on a wide range of issues.
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- 800 number call center
- BeneCenter website
- Counsels members with enrollment decisions regarding benefit cost and options
- Answers questions in plain English
- Helps members understand the cost impact of using participating vs. nonparticipating providers
- Ensures that network discounts are applied
- Helps members understand HRA program mechanics and details
- Coordinates HRA reimbursements and claim substantiation
- Educates members about Health Savings Accounts
- Helps resolve eligibility problems
- Verifies eligibility to pharmacies and providers during periods of plan transition
- Helps members locate in-network providers
- Coordinates approvals for medical equipment
- Locates in-network medical supply vendors
- Supplies correct member information to providers to streamline claims
- Assists members with medical procedure preauthorization
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- Assists members with exceptions to use providers outside capitation relationships
- Helps members understand multi-tiered Rx programs
- Encourages generic utilization
- Provides tools to locate lower-cost Rx
- Helps members with Rx pre-certification
- Helps members with mail-order Rx
- Researches member out-of-pocket responsibility
- Resolves claim errors and denials
- Resolves incorrect plan procedure interpretations
- Corrects errors in the application of deductibles, coinsurance and copayments
- Assists members in recouping out-of-pocket expenses when contract limits have been exceeded
- Assists members with claim appeals
- Coordinates transition of care when necessary
- Resolves eligibility issues involving PPACA dependent to age 26 rules, COBRA & FMLA
- Assists with transition of coverage from private insurance to Medicare
- Counsels members with sensitive healthcare issues
- Educates members on PPACA $0 cost preventive care
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