Customer service is more than just answering the phone and providing the right answers. To us customer service also means knowing your plan inside and out. Our self-funded customer satisfaction rating is 94%. Here are a few reasons why:
When we process your claims, we promise to value your money just like we do our own when we process our fully insured plans. We stand behind this promise not only with a 99% claims accuracy rate, but also with a service guarantee based on financial and statistical accuracy and claims turnaround time.
WPS Pharmacy Services teams up with pharmacists and physicians to help make sure your employees receive the right drug, in the right dosage, at the right time…all while reducing harmful and wasteful use of medications. Ultimately this approach strikes a balance between comprehensive prescription benefits and affordable coverage, reining in costs while improving the health of your workforce.
WPS offers a suite of integral care management services designed to optimize the health of members and drive down overall costs. Our programs address all states of health, from catastrophic illness to health and wellness. WPS case management nurses act as patient advocates, working with patients, families, and providers to personalize care plans for members with complex, long-term, or catastrophic health conditions. Our URAC-accredited utilization management program monitors patient care to help your employees receive appropriate services. We use predictive modeling and pharmacy claims to identify members who may benefit from chronic care management. Early identification, up to 90 days sooner than traditional disease management allows our team to monitor and coordinate care, often resulting in improved outcomes and reduced costs.
WPS partners with an industry-leading pharmacy benefit manager to deliver the very best prescription drug management services for you and your employees. We’ve negotiated pass through pricing with Medco. That means if we get better terms from a pharmacy, those savings are passed on to you. These savings along can amount to up to one percent of total claims.
WPS provides your employees with the tools and resources they need to achieve good health and maintain healthy lifestyles. Participants in our comprehensive wellness program can receive Health Risk Appraisals, personalized coaching, education, and support to help them develop and maintain healthy habits. What’s more, all of your employees have access to comprehensive health tools available on the WPS website. Our objective is to help you contain long-term health care costs and build a healthier, more productive workforce.
For additional details see the WPS Administrative Services brochure (PDF).