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Company Overview

Background

CNIC is a Colorado-based Third Party Administrator (TPA) in operation since 1987. A TPA is an administrative firm hired by the employer to administer their benefit program as outlined in their plan document.

As the TPA division of Rocky Mountain Health Plans (RMHP), a not-for-profit health benefits provider, CNIC is committed to providing cost effective, customized benefit plan solutions to our clients. The CNIC model combines the low unit cost and flexibility of a TPA with the proprietary Care Management and Disease Management traditionally associated with fully insured carriers.

The company's experience and financial strength, combined with the strategic application of technology, allows us to bring self-funded employers efficiencies and exceptional customer service. Innovative technology solutions continue to distinguish the company. CNIC is a market leader and has met or exceeded meaningful performance standards that continue to set the pace within the industry.

Staff

CNIC staff believes in truly delivering premier customer service, not just talking about it. Our staff is experienced, knowledgeable, and responsive. Management and claims/customer service personnel have been selected based upon their knowledge and commitment to the industry.

Health care administration can be complex at times. Questions will arise, and our employees are here to respond to and resolve issues. Resolving issues in a timely and professional manner is a core element of our company's philosophy. The feedback we receive validates that we are making a positive difference with our customers.

Distinguishing Features

smallcnic Knowledgeable and highly accountable employees
smallcnic Electronic interface capabilities
smallcnic Direct claims submission from provider to CNIC eliminating lost claims and slow claims payment in most cases
smallcnic On-line portal for member, provider, broker and employer access to eligibility, benefits and claims
smallcnic Calls answered in less than 20 seconds
smallcnic 100% of member and provider calls documented
smallcnic 95% of clean claims paid within 10 business days
smallcnic 99% claims accuracy
smallcnic Identification cards issued to members prior to group effective date

We are confident these features exceed our competition's capabilities. In fact, we publish a performance report card on our web site.

Service Highlights


smallcnic Specializing in administration of employee benefit plans including medical, dental, vision, HRA/HSA, and COBRA/HIPAA
smallcnic Offering customized PPO and EPO products and networks
smallcnic Single contact point for claims and customer service inquiries
smallcnic Comprehensive, user-friendly reporting packages providing you with what you need to monitor and track results
smallcnic Utilization review, case management and disease management
smallcnic Plan Document and amendments
smallcnic Coordination of Benefits (COB) and subrogation services

CNIC offers a full array of services to assist self-funded accounts with administration of their benefit plans. Please be sure to visit the Services section of our site for more details.

This unique offering, combined with CNIC's technology-focused approach, allows us to bring self-funded employers efficiencies and exceptional customer service.