Comprehensive Consulting Solutions, LLC

Flexible – to accommodate new plans or changes to existing ones
Scalable – to grow easily as membership/participation grows
Web-Enabled – to improve communication with stakeholders (participants, payors, employers) and maximize efficiency

The right system can deliver all of these – and more – at a great price. If you’re not getting any breaks from the health insurers or pension legislators, how about getting a break from your IT systems and services? CCS can consult, integrate, and customize your systems and technologies to deliver results across a spectrum of benefits:

SIMPAL Health and Welfare administration enables your organization to:

Set up multiple Health Plans with ease.
Receive Profesional and Institutional Health claims electronically with our EDI 835 and 837 modules and parsers.
Auto-Detect duplicate billing, for not just one type of claim.we have your back for multiple types of claims, ever seen patient dental history on a chart?
Process and pay Profesional, Institutional and Dental claims.
Ability to administer multiple Health plans.
Auto-Adjudicate claims.
Handle year end IRS Tax reporting electronically and also print and send the provider 1099's
Flag claims for prior authorizations and accidents.
Track accidents and subrogation.
Enter and attach prior authorizations and deny on exceeding the limits.
Send out EOB, Provide paylist, Checks and Correspondence for Additional information.

SIMPAL web administration is a secure, web-based plan administration system that delivers integrated functionality for diverse benefit offerings:

Contributions
Accounting
Premium Billing
Eligibility
DB and DC Pension
COBRA administration
Life/Disability
And other fringe benefit plans

Leverage the web to engage your membership, improve efficiency, and deliver outstanding service.
A decade ago, a self-service benefits site was a nice-to-have. Today, with members accustomed to conducting all manner of personal
business online and via their smart phones, it’s a must-have. The SIMPAL Web Self-Service application provides a secure connection
for your constituents to:

Manage contact information;
View claims and claim history;
Forecast pension benefits;
Check account balances;
Submit Fringe Fund claims;
Enroll for benefits;
Add or change beneficiaries and dependents;
Submit contributions reports (employers) and more.

Learn more about how our products handles various miscellaneous funds.

We at CCS are here to help you and your organazation succeed, partner with us and get the results your enterprise wants and needs in the digital age.

Contact us to request a live web demonstration of the system at sales@ccs-llc.com.

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