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Cypress Solution eNews 
July 28, 2010  -  Cypress Benefit Administrators
    
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Greetings!

We enjoy bringing you information and reminders to help you stay abreast of new Cypress developments and industry compliance requirements. Please let us know how Cypress Solution eNews can be of further service to you.
topIn This Issue:
 
 
Health Payment Systems (HPS) of Milwaukee, WI, and Trilogy Health Networks (THN) of Brookfield, WI, have announced the formation of a strategic business alliance to provide employer-sponsored self-insured health plans with a comprehensive network of providers at deeply discounted rates. Cypress is proud to be one of the select few administrators able to offer this arrangement. Learn more.
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After just recently introducing Consult A Doctor™ (CADR™), several Cypress clients have already taken advantage of this telephone/email consultative solution that adds value and lowers plan costs - and we are receiving tremendous positive feedbackLearn more about CADR™ and the benefits it offers both employers and patients.
  
argusadvARGUS Advantage Series: 
ARGUS Claim Review - a division of Cypress Benefit Administrators - guards against costly healthcare billing errors, issues with medical claims processing and other claim system deficiencies. Learn more about how this industry-leading system works via this series of occasional articles.
 
 
Understanding Medical Necessity Review Procedure
 
Cypress's responsibility as an administrator of claims is to be sure medical providers are compensated for the services they perform for our client's employees and family members.  It is also our duty to be sure the services being billed are payable under our client's Summary Plan Description (SPD) and are medically necessary -- which is why all claims submitted by any provider are subject to review.  Health Care Anti-Fraud Association estimates that $68 billion is lost annually to fraud and abuse. Learn more about how 'medical necessity' is determined and how ARGUS Reviews help control health care costs.
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If you have any questions or are looking for solutions, please feel free to contact us. We are happy to help!
Sincerely,
Cypress Benefit Administrators