Provider Procedural Manual - The Health Plan

PROVIDER PROCEDURAL MANUAL 2014HEALTH PLAN ADMINISTRATIVE SERVICES ONLY (ASO)SELF FUNDED EMPLOYER GROUPSMany employers choose to pay claims as they are incurred rather than pay a prepaid monthlypremium for their employee’s medical benefits. The Health Plan offers Administrative ServicesOnly (ASO) to assist these employers with administering their benefit plan. The Plan offersthem a contracted network of providers, utilization management services and claims processing.These plans are most often designed by the employer group and administered by the plan’sAllied Service Division or HomeTown Administrative Management Services (AMS) These plansare most often designed by the employer group and benefits, co-pays, deductibles and ID cardsmay vary from the standard insured plans offered by the Health Plan.ID cards may vary from group to group. Click here to see Section 4 of this manual for more information.Section 3 / Page 18