Our Services



Cobalt MedPlans offers flexible, scalable, on-demand solutions covering the entire life cycle of healthcare claims administration. Our 100% on-shore workforce has extensive claims industry experience. That means you can expect an agile, accurate and cost-effective claims management partner.


Staff Augmentation

We partner with you to supplement or replace short- or long-term staffing needs. Because of our unique size and expertise, we help you reduce overhead, time and resources associated with back office operations, which will free up your resources for corporate and member centric initiatives.

Backlog Reduction

We are uniquely positioned to step in quickly and assist customers in urgent situations. Payers can quickly find themselves in a backlog situation due to a variety of circumstances:

  • Influx of new business
  • Change in healthcare requirements or regulations
  • Benefit changes
  • Seasonal spikes in volumes
  • Unexpected turnover
  • Labor disputes

System Conversion

We collaborate with your team to provide overflow services during transitions such as planned operational disruptions like system conversion or consolidation.This includes a ramp up period as the transition is planned, a plateau period as the conversion commences, and an ensuing ramp down as the customer regains operational stability.

Safety Net

If you want to be ready for a possible outage, consider the benefits of having a team of management, trainers, QA’s, and claims examiners or customer service representatives familiar with your line of business who can immediately transition when needed. Because an environmental or technical outage could result in an operations shutdown, Safety Net provides customers with the peace of mind knowing a team of experts is at the ready in the event of an outage.

Strategic Partnerships

  • Automation
  • Consulting
  • Training
  • Process Improvement
  • Workflow Optimization
  • User Acceptance Testing

Claims Administration

  • Adjustments
  • Appeals and Claims Audits
  • Correspondence
  • Data Entry
  • End-to-End Processing
  • Enrollment
  • Medical Records Review and Sorting
  • Pend Resolution
  • Provider Contract and File Maintenance
  • Refund Processing

Contact Center/Call Center

  • Multi Channel
  • Omni Channel
  • Traditional Call Center

Products

  • Behavioral Health
  • Blue Home/Host
  • Commercial and Federal
  • Medical, Pharmacy, Dental and Vision
  • FEP Direct
  • HMO/PPO
  • Medicaid
  • Medicare and Medicare Advantage
  • Short Term Major Medical




More Information

Reach out to our Kansas City, Fort Scott and Rockford locations.


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