Hero-Admin Services

Behind Every
Successful Health Plan?

Superior Administration

Every detail matters. Allied’s industry-leading administrative services keep self-funded health plans accurate, compliant, and financially stable—from implementation to renewal, and everything in-between.

innovative, member-focused

Messy administration is the Achilles’ heel of health plans. Our seasoned experts remove complexity and turn operations into opportunity—freeing the path for partnership, strategic thinking, and more innovative, member-focused care.

What We Do

Core Administrative Services

Allied’s administrative services push beyond traditional TPA outcomes. Our experts deliver accurate claims processing, proactive compliance, eligibility management, treasury services, and more—always powered by deep experience and forward-thinking insight.

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Claims Processing

Allied's claims team is world class. This group of seasoned professionals is highly experienced and ongoing training keeps their professional skills sharp. Coupled with state-of-the-art technology, the team ensures that claims are processed efficiently and accurately.

The result?

Faster turnaround times, fewer mistakes, and greater confidence for every stakeholder in the claims process.

9 days

Average TaT

Claims Processing

100%

Financial Accuracy

Industry standard is 99%

100%

Payment Accuracy

Industry standard is 97%

100%

Procedural and Coding Accuracy

Industry standard is 99%

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Compliance

Allied’s team of professional compliance experts and ERISA attorneys help employers navigate the complexities of current and changing regulations.

Services Provided

  • ACA Compliance Services
  • Form 5500 Services
  • Gag Clause Prohibition Compliance Attestation
  • Mental Health Parity Compliance
  • PCORI Fee Reporting
  • Plan Documentation Preparation Services
  • RxDC Reporting
  • Section 125 Non-Discrimination Testing
  • Sovereign Nations Compliance Expertise
  • State & Federal Reporting Services
  • Transparency in Coverage (TiC) Compliance
  • Numerous Other Compliance Services
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Eligibility Management

Eligibility errors are one of the leading causes of claim denials, coverage gaps, and member frustration in self-funded health plans.

Allied's flexible eligibility management ensures every participant’s coverage is accurate and up to date. We accept electronic 834 files, custom formats, paper forms, or direct updates via our proprietary web portal.

With more than 200 active trading partners, employers can be confident their eligibility data reaches every important vendor, reducing administrative headaches and supporting a consistent member experience from enrollment through ongoing coverage.

Management
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Treasury Services

Financial management is a critical component of every self-funded health plan. Allied’s treasury team brings unmatched expertise and reliability to every transaction.

Consolidated Billing

We simplify finances with one clear monthly invoice covering all plan fees, network costs, and stop-loss premiums, streamlining payment for your team.

Claim Funding & Payments

Our team manages plan bank accounts or trust funds, ensuring accurate, timely payments to providers and tracking every dollar.

Stop-Loss Reimbursement

Allied monitors claim activity and handles all paperwork for stop-loss reimbursement, so recoveries are received promptly after high-cost claims.

 

What We Do

Optional Administration

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COBRA Administration

COBRA compliance is complex and can create a significant administrative burden for employers. Allied takes the pressure off by managing the entire process for you.

Our team delivers end-to-end COBRA administration—handling setup, qualifying event tracking, participant communications, billing, premium collection, and timely payments. We help ensure you stay compliant while making sure beneficiaries receive the coverage notification and support they need during transitions.

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FSA Administration

We offer FSA Administration in partnership with NueSynergy, giving employers access to a modern online portal with robust reporting tools for plan management and compliance.

Employers can offer:

  • Health Care FSAs
  • Limited Purpose FSAs
  • Dependent Care FSAs
  • Commuter FSAs

Members enjoy NueSynergy’s intuitive mobile app and website with real-time account balances, an integrated debit card, and fast claim reimbursements through snap-and-submit functionality.

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We offer HSA Administration in collaboration with HealthEquity, enabling employers to monitor employee HSA balances through an online portal and comprehensive HSA reporting.

Members benefit from HealthEquity’s robust online portal and mobile app for easy access to account details, and a convenient debit card for transactions.

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Effortless Administration.
Dependable Results.
Unmatched Support

Allied’s team keeps your self-funded health plan running smoothly—freeing you from paperwork, errors, and endless reconciliations. Discover how our hands-on service  empowers your organization to achieve benefits efficiency, financial accuracy, and greater confidence in every transaction.