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Administration Services
What does ProAmica do when contracted to administer a Trust?We do everything you would expect from a medical insurance
company except fund the claims settlement as an insurer
does. The concept of a Trust is that the Trust pays its own
claims, using its own funds.
First of all it is essential that the Trust and ProAmica
Administration services establish the benefit levels and any
limitations, which are to be applicable to the Trust. Once
these decisions have been made ProAmica will deal with all
aspects of Trust administration.
For example
- Take telephone calls from trust members who wish to make a claim for medical expenses. ProAmica will advise the trust member on how to make a claim and the processes involved.
- ProAmica will authorise treatment to go ahead, once a
claim has been approved and accepted, giving definitions
to the Trust Member as to any benefit limits applicable to
their specific treatment plan.
- All accepted claims will be settled by ProAmica, at the
end of each month. Payments will be made by cheque
either direct to the clinician or hospital, or reimbursed
to the Trust Member where it is confirmed they have
already settled an invoice themselves.
- A monthly report detailing claim numbers and payments
due to the various facilities and clinics, will be presented
each month to the Trust. The Trustees will then authorise
ProAmica to collect from the Trust Bank Account by
Direct Debit, the claims liability amount, together with the
pre-agreed administration costs due to ProAmica.
- ProAmica will issue Trust Membership Documentation
to all Members of the Trust. This enables each Member to
be fully aware of their available benefits and should the
need arise, how to make a claim.
- ProAmica has used its negotiating power to strike deals
with Hospital facilities wherever possible. Any such cost
savings achieved will be reflected in the billing from the
facilities to the Trust Member and are therefore a direct
benefit to the Trust.
A full list can be found by downloading our Trust Administation brochure
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Brochure Download |
 Corporate Healthcare Trusts and Administration from ProAmica
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ProAmica is a division of General & Medical Finance Plc - Registered in England No 2421641
General & Medical Finance Plc are authorised and regulated by the Financial Services Authority (FSA) Our firm reference number is 306094 and this may be checked at www.fsa.gov.uk/register |