Planned Administrators, Incorporated (PAI) was founded in 1981 as a Third Party Administrator (TPA) of Self-Funded Health Care Plans, focused on health care claims administration and Utilization Management. Quality plan administration and superior customer service remain key strengths for PAI, as evidenced by a customer retention rate over 95% for the past five years. PAI specializes in the administration of self-funded plans. Self-funding allows flexibility and the potential for lower health plan costs. PAI helps groups realize value and savings through flexible plan design, provider networks that offer an unparalleled combination of discounts and accessibility, superior claims processing and customer service.
PAI is a mid-sized TPA that delivers big-company benefits (including the most extensive provider network in the state) within a flexible, highly service-oriented environment. For example, our 74,000 plan members enjoy the ability to reach a person who can answer their questions-not a voice response unit. Alternatively, members can choose the 24/7 accessibility of a secure web site to view the status of their claims, change their enrollment information, and more. Through an arrangement with South Carolina's largest insurer, groups also have access to other programs, including:
- COBRA Administration
- FSA Administration
- ParadigmHealth's Complex Care Management Program
- Maternity Care (for expecting mothers)
- Health Management (to assist individuals with chronic conditions)
PAI helps groups minimize their risk through stop loss coverage provided by preferred stop loss carriers. Our services include administration of:
- Medical, Dental, and Vision benefits
- Medical Review and Managed Care
- Prescription Drug Programs
- Short Term Disability
- Life Insurance
- HIPAA Compliance
All services are provided in a manner to maintain employee confidentiality and to be HIPAA compliant.