Coastal Healthcare Administrators and Coastal TPA, Inc. are service
organizations whose business philosophy dictates excellence in performance
and service to their clients. Coastal is a California healthcare organization
serving Monterey, San Benito, San Luis Obispo and Santa Cruz Counties
since 1961.
Coastal specializes in the administration of self-insured group
health plans, offering efficient and prudent claims processing,
COBRA and HIPAA administration, a full range of informative management
reports, accounting services, reinsurance billing and assistance
in plan document preparation.
Unlike other managed healthcare organizations, Coastal delivers services tailored
to the needs of every client, whether fully insured or self-funded. These services
include:
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A network of physicians and other providers who have agreed to substantially discounted rates. |
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Regular credentialing of all providers. |
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Superior utilization management overseen by physicians, ensuring that only necessary and appropriate ambulatory services and hospital care is approved. |
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Peer review performed by physicians and ancillary providers in each community to determine appropriateness of care. |
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State-of-the-art Management Information Systems, enabling timely and efficient eligible claims administration. |
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Case management services for long-term care, high-risk maternity and other special needs. |
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A full array of reports, including in-depth analysis of claims. |
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No paperwork! Contracting providers complete and submit claim forms directly to the insurer. And, depending upon the plan's benefits, no demand for payment is made at the time of service. |
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