Medical Third-Party Admin

Full third-party medical claims administration solutions.

Claims Administration

In addition to providing the BenefitReady platform for managing all aspects of the ACO Private Exchange, CieloStar offers a full third-party medical claims administration solution.

A key part of the ACO model is processing of the claims through the ACO.  CieloStar can work with other third-party administrators or provide the claims administrative services.

CieloStar medical and dental claims administration services include:

  • Timely claims processing on a state of the art administration system
  • Customer Service
  • Plan document creation
  • Subrogation and claims review
  • Online access to claims
  • A paperless, electronic payment method using CieloPay

Reinsurance

CieloStar provides stop-loss coverage through Lloyds of London and other markets.