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
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Knowledgeable and highly accountable employees |
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Electronic interface capabilities |
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Direct claims submission from provider to CNIC eliminating lost claims and slow claims payment in most cases |
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On-line portal for member, provider, broker and employer access to eligibility, benefits and claims |
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Calls answered in less than 20 seconds |
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100% of member and provider calls documented |
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95% of clean claims paid within 10 business days |
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99% claims accuracy |
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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
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Specializing in administration of employee benefit plans including medical, dental, vision, HRA/HSA, and COBRA/HIPAA |
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Offering customized PPO and EPO products and networks |
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Single contact point for claims and customer service inquiries |
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Comprehensive, user-friendly reporting packages providing you with what you need to monitor and track results |
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Utilization review, case management and disease management |
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Plan Document and amendments |
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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.
