Claims & Benefits Administration

We get it. Switching to a new health benefits administrator can feel overwhelming.

That’s why a painless transition is our overriding objective. CoreSource’s proven process of careful planning and clear communication results in minimal issues for your business. We perform a comprehensive review of your current plan components, and then our experts go to work crafting and configuring all the pieces of your plan to seamlessly support your business goals.

Working with you, we develop a detailed and strategic communication strategy that supports optimal healthcare decision making by your members. We support your employee benefit meetings and can be on site to meet your staff and answer their important questions.

Medical, Dental, Vision, Disability, COBRA, and Flexible Spending

We know that you expect—and deserve—to have your claims processed accurately and timely, with fraud and waste removed. CoreSource has excelled at this for more than 40 years. When clients choose CoreSource, they stay with us for an average of more than 10 years.

As more and more claims become complex within the healthcare delivery system, we have created a process to carefully review and analyze specific claims with high-dollar diagnoses in effort to save the member and plan money.

CoreSource will administer all aspects of COBRA included in the employer plan.

Pharmacy Benefit Administration

CoreSource contracts with leading pharmacy benefit managers (PBMs) with quality networks and national accessibility (major chains and independents), so members have comprehensive, cost-effective, and convenient options to receive prescription drugs.

In addition to basic prescription drug benefits, our PBMs offer specialty drug management programs to help manage the costs of expensive drug therapies when treating chronic and complex conditions. We also have the flexibility to work with your current PBM partner.

Reporting, Analytics, and Insights

Our employer and broker portal, myCoreSource.com, features a one-stop, secure, and personalized online experience for immediate access to standard and flexible ad hoc reporting, claim viewing, and real-time eligibility maintenance.

CoreInsights, CoreSource’s advanced, interactive reporting and analytics tool for self-funded employers and their brokers, provides insights and recommendations to support your plan objectives.

Consumer-directed Health Plans

Each business has unique needs, and each plan should be structured in a way that best helps an employer and their members achieve their goals. Accordingly, we provide brokers and employers tremendous flexibility to allow them to design their optimal plan. We expertly execute that plan to ensure the success of your consumer-directed strategy.

CoreSource's consumer-driven healthcare plan options include an individually-owned health savings account (HSA) feature and health reimbursement arrangements (HRA). We also offer a robust flexible spending account (FSA) plan design option that allows members to use their pre-tax dollars for eligible out-of-pocket healthcare expenses.