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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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       2007