Choice Strategies is committed to providing our employers and members state-of-the-art innovative solutions to reduce paperwork and increase satisfaction while keeping their Choice Strategies plan(s) in compliance with IRS guidelines.
Choice Strategies has partnered with select Health Insurance Carriers to receive regularly scheduled Data feeds of medical claim data. These carriers include:
- Tufts Health Plan
- Harvard Pilgrim Health Care
Data feeds provide Choice Strategies with the information found on members’ Explanation of Benefits (EOB), a document provided by Insurance Carriers to medical providers and members indicating the adjusted rates and amount applied to the employee’s deductible. This condensed claim information enables Choice Strategies to approve member transactions and/or claims without having to request documentation from employees.
Data feeds allow Choice Strategies to administer plans in unique direct-pay models. Please click on the links below for more information on our direct pay options.