USHH believes in offering clients exactly what they need to improve their operational
effectiveness and improve their financial results. Therefore, unlike most other full-service
outsourcing companies, USHH is willing to custom-design an outsourcing program that works
best for you. The services USHH offers include:
• Flexible group, account, and benefits set-up for multiple lines of business
• Member demographic subsystem that can be tailored to your business needs
• Member ID card production
• Provider maintenance of demographic and contract data
• Fee schedule and provider payment tables for fee-for-service and capitated arrangements, DRGs, per diems, and
groupers.
• Utilization management subsystem for referral/authorization management
• Claims subsystem for adjudication and payment of hospital, physician, and ancillary claims. Accurate, dependable, and
timely claims processing is critical for provider and member satisfaction. USHH has a proven track record in helping to
reduce and eliminate client backlogs. USHH consistently exceeds industry prompt pay standards while demonstrating a
99.5-99.9% quality rating.
• Client inquiry tracking and call documentation on the member, provider, and claim level
• Premium billing to client, account, and government entities
• Electronic capabilities for information inputs, extracts, and ongoing transactions such as membership and claims
• Report generation with the flexibility needed to support your unique needs
• Membership validation and input for government programs and electronic entry for commercial programs, with the
capability of providing membership feeds to several national vendors for pharmacy, vision, and other ancillary services.
No matter what your outsourcing need is, USHH will work with you to customize a solution to
meet your short and long-term strategic vision.