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Did you know
Did you know that we offer extended health claims as part of our multi-benefit platform?

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Organizations
Insurers
Plan Sponsors and Employees
Third Party Administrators
Workers' Compensation
 
Claim Management Solutions for Insurers and Third Party Administrators

We have has developed solid, long-lasting partnerships with insurers across Canada and have intimate knowledge of the health benefit industry. Our systems and services have been designed to bring robustness, security, flexibility and performance to claim management. Our connectivity with healthcare professionals ranging from pharmacists, to dentists and other providers, permits rapid deployment of new solutions and communications from insurers and third party administrators (TPAs) to the users of the system. Our solutions allow insurers and TPAs to better serve their plan sponsors and plan members across Canada.

Drug, Dental and Extended Benefits Plans

Assure Claims solutions provide cost-effective and efficient management of drug, dental, extended health and workers' compensation claims between insurance companies, government organizations and health care professionals. Our solutions range from the transport of benefit claims to complete drug adjudication services available in the form of our Pay-Direct Drug or Deferred Payment options. We have launched a dental solution and will soon be implementing a complete extended health solution on a common platform that will integrate the full set of functionalities that have made our Assure Claims Drug benefit offering so successful.

TELUS Health Solutions - Your Total Outsourcing Partner

Treating paper claims is costly and cumbersome for insurers and third party administrators. We make our business from the conversion of transactions from paper to electronic and as such have developed a series of change management techniques that facilitates acceleration of our systems' adoption. We work in partnership with our customers to increase the penetration of electronic transactions. In addition, we now also provide treatment of paper claims if required by our customers, thereby becoming a total outsourcing partner.

TELUS Health Solutions - Your Centre of Excellence

To optimize efficient use of TELUS Assure solutions, we offer clients a full range of professional support services.

  • Our Centre of Excellence assists plan sponsors, together with our insurance carrier clients, in improving management of escalating drug costs.
  • Our Insurer's Help Desk and Provider's Claim Help Desk provide our users and customers with high quality, timely support whenever needed.
  • Our highly skilled professional pharmacists are current on new drugs, trends and the latest changes in government plans. They provide technical support on plan design and consult with plan sponsors on the development of custom formularies and other drug management initiatives.