We provide explanation of benefits for participants and providers. We also verify benefits and eligibility for members and providers and process claims.
SFPI built and maintains its claim system, allowing us to customize to clients specifications and efficiently update the system as needed to meet regulatory and provider needs. Our highly skilled and experienced claims examiners are experts at ensuring claims are paid accurately. Clients, however, most appreciate the personalized handling of their claims. All employees have direct access to their claims examiner, often resulting in a personal relationship. The level of service provided by our claim team always exceeds expectations, an experience rarely found in customer service in the insurance industry.