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Be Prepared
The Strengths of Sterling
Medicare Expertise
Medicare Policy Advisor
Systems and Services
Customized Programs
Unique Approach
Personal Service
Measurable Cost Savings
Sterling Makes Sense
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Sterling makes the administration of your retiree plans effortless for you. Our two independent yet interactive plan
administrative systems handle Medicare Supplement and Medicare Advantage plans. These systems are joined through
enrollment and data management interfaces, allowing for smooth transition between plans and providing robust
reporting capabilities.
Medicare Supplements represent the majority of employer retiree plans. Our custom-designed
administrative systems are state of the art. Sterling’s systems utilize client/server technology consisting of a
Windows-based GUI (graphical user interface) front-end application that allows fast, user-friendly access to
information and an Oracle database back-end that delivers responsive transaction processing.
In order to ensure accurate, timely and profitable claims administration processing for our Medicare Advantage plans, we
have chosen Synertech Health Systems Solutions, LLC to serve as our Application Service Provider (ASP) using the
QMACS claims processing system.
The result:
Access to critical information whenever you need it
Ability to troubleshoot and avoid potential problems
Availability of cost models and census data monitoring
We pride ourselves in the excellent ratings we receive from both providers and beneficiaries in all areas surveyed,
including accuracy and customer service. (Survey results are available upon request.)
Other Sterling advantages:
Payment accuracy of 99+%
Paperless claims filing
Claims 85% auto-adjudicated
Over 7.2 million claims supported annually
Maximum 9-second ring to answer time
Always a live operator
Phone abandonment rate of 0.3%
Automated mailings
Complete backup services to avoid interruptions
Technologically advanced software serviced by industry experts
Less than 15-day claims turnaround
Administration capabilities for virtually any plan type
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