Company Overview

Company Overview

Background

CNIC Health Solutions, Inc. (“CNIC”) is headquartered in Denver, Colorado with offices located in Colorado Springs, Colorado and Elko, Nevada. CNIC is a Colorado-based Third Party Administrator (“TPA”) and is the State's largest TPA. The company has market tenure and experience and has operated for 20 years.

The company's experience and financial strength, combined with the strategic application of technology, allows us to bring self-funded employers unparalleled 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. We have all been on the receiving end of poor customer service, of speaking with someone that doesn't seem to understand our issue, or simply doesn't care.

Our staff is experienced, knowledgeable, and responsive to you. Management and claims/customer service personnel have been selected based upon their knowledge and commitment to the industry. If they cannot provide you with an immediate response, they will give you a timeframe for a call back and will follow up.of our site for more details.

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

	Knowledgeable and highly accountable employees
	Electronic interface capabilities
	Direct claims submission from provider to CNIC eliminating lost claims and slow claims payment in most cases
	Direct, on-line member, provider, broker and employer access to eligibility, benefits and claims
	Calls answered in less than 20 seconds
	100% of member and provider calls documented
	95% of clean claims paid within 10 business days
	99% claims accuracy
	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

	Specializing in administration of employee benefit plans including medical, dental, vision, and disability
	Offering customized PPO and EPO products and networks
	Single contact point for claims and customer service inquiries
	Full service administration of COBRA, HIPAA, Flexible Spending Accounts, and Health Reimbursement Arrangements (HRAs)
	Comprehensive, user-friendly reporting packages providing you with what you need to monitor and track results
	Utilization review and case management
	Plan Document and amendments
	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 unparalleled efficiencies and exceptional customer service.