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Benefits Consulting Services RFP
appropriate preventive measures such as mammograms, colonoscopies and other preventative care procedures.
The platform also uses the latest in classification methodologies to generate metadata attributes such as AMA for
CPT-4, HCPCS, ICD-9 and ICD-10, FDA for NDC, CMS for Place of Service and Provider Specialty codes, BETOS for
classifications of CPT-4s, and Symmetry ETG for a 3-tier classification of NDCs for complete and up-to-date
viewpoints. These features allow our customers to see the whole truth about the prevalence and cost of real world
chronic conditions impacting their populations, and in turn bottom line.
Components of NavMD
1. Analytics & Reporting
2. “What If” Plan Modeling
3. Performance Tracking & Monitoring
This service is available at no additional cost and allows Unity to coalesce data regardless of carrier history. Please
refer to Exhibit G for NavMD Dashboard Samples.
Claims Processing, Review and Utilization
A major challenge for many of our clients is the management of data. Rising health care costs are one of their top
concerns. As advisors to many clients, we know the importance of keeping the decision makers and committees
informed of the plan financials.
As such, CBIZ provides periodic (monthly, quarterly, semi-annual) including:
Monthly Reports/Meetings:
NavMD
Dashboard Report
Monthly financial overview and funding comparison
General Plan Performance/Expense Overview
Large Claim Report
Quarterly Reports/Meetings Monthly Report Summary Plus:
Utilization Data Analysis
Performance Standard Review- Vendor performance guarantees, if available
Annual Reports/Meetings Quarterly Summary Plus:
Financial Comparison
Benchmark Review/Analysis
Performance Standard Review/Stewardship Report
Wellbeing Scorecard