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HARVARD PILGRIM HEALTH CARE Student Insurance 805 Executive Center Dr. West Suite 220 St. Petersburg, FL 33702 www.UHCSR.com We know that the front lines of insurance program administration can be a scary place. Dreaming of paperless insurance administration? Imagine if the paperwork and communication headaches that a waiver program creates could vanish in an instant? What if your Student Health Center could upload claims from your practice management application into an Online Ledger Billing system and receive immediate verification of eligibility? What if your Student Health Center could communicate via email with every student on campus with a few mouse clicks? Would it help if you could enter your Student Health Center referrals online in minutes? Partner Center makes those dreams a reality. Online waiver. Customizable waiver questions based on state mandated benefit requirements. Automatic waiver approval or denial. Immediate email notification to students. Simplified waiver list management and export. Ongoing technical support. Online Ledger Billing. Our Ledger Billing Web Application (LBWA) can accept uploads from several popular practice management systems. Or, you can enter ledger bills one at a time. Immediate verification of eligibility. e ability to hold claims pending eligibility. Search for previously entered claims. LBWA feeds directly into our claims system and speeds up adjudication of those claims. Online Student Health Center Referral. No more faxes. No more forms. Enter referrals online at the point of service. Search for previously submitted referrals. Export referral lists to Excel. Super User. Immediate online access to your insured student list. Verify eligibility and print out EOBs. Print temporary ID cards for students. Search for a network provider. Super User helps you help your students. And, because we know the Health Center staff fields all kinds of questions from students, we also put our Student Health Zone information and Insurance 101 only a click away from within Partner Center. e Zone’s printer-friendly health topics provide a quick and easy way to educate patients about their conditions at the point of care. Partner Center makes the front lines a nicer place to be. Coverage underwritten by HPHC Insurance Company and administered by UnitedHealthcare StudentResources.

Dreaming of paperless insurance administration?

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HARVARD PILGRIM HEALTH CAREStudent Insurance

805 Executive Center Dr. West Suite 220 St. Petersburg, FL 33702

www.UHCSR.com

We know that the front

lines of insurance program

administration can

be a scary place.

Dreaming of paperless insurance administration?Imagine if the paperwork and communication headaches that a waiver program creates could vanish in an instant? What if your Student Health Center could upload claims from your practice management application into an Online Ledger Billing system and receive immediate verification of eligibility? What if your Student Health Center could communicate via email with every student on campus with a few mouse clicks? Would it help if you could enter your Student Health Center referrals online in minutes?

Partner Center makes those dreams a reality.Online waiver. Customizable waiver questions based on state mandated benefit requirements. Automatic waiver approval or denial. Immediate email notification to students. Simplified waiver list management and export. Ongoing technical support.

Online Ledger Billing. Our Ledger Billing Web Application (LBWA) can accept uploads from several popular practice management systems. Or, you can enter ledger bills one at a time. Immediate verification of eligibility. The ability to hold claims pending eligibility. Search for previously entered claims. LBWA feeds directly into our claims system and speeds up adjudication of those claims.

Online Student Health Center Referral. No more faxes. No more forms. Enter referrals online at the point of service. Search for previously submitted referrals. Export referral lists to Excel.

Super User. Immediate online access to your insured student list. Verify eligibility and print out EOBs. Print temporary ID cards for

students. Search for a network provider. Super User helps you help your students.

And, because we know the Health Center staff fields all kinds of questions from students, we also put our Student Health Zone information and Insurance 101 only a click away from within Partner Center. The Zone’s printer-friendly health topics provide a quick and easy way to educate patients about their conditions at the point of care.

Partner Center makes the front lines a nicer place to be.

Coverage underwritten by HPHC Insurance Company and administered by UnitedHealthcare StudentResources.

Our Customer Service

team meets and exceeds our high standards

of excellence

We aim to please.Available from 7 a.m. to 7 p.m. CST, our Customer Service Representatives field approximately 2,500 calls and 200 customer emails every day. Our service level commitment aims for 80% of those calls to be answered in 30 seconds or less and the resulting customer interactions strive for a 95% quality benchmark.

Our Claims teams are thoroughly familiar with every facet of the hundreds of plan configurations that we offer to our college and university clients. Our six teams, composed of claims examiners, appeal specialists, trainers and Student Health Center ledger billing examiners, receive approximately 4,000 claims every day.

A comprehensive provider network throughout New Englandl More than 28,000 affiliated providers including - 6,000+ Primary Care Physcians 16,000+ Specialists 135 Hospitals, including nationally recognized teaching and tertiary facilitiesl Nationally recognized teaching and tertiary hospitals

Enrolling in an insurance plan doesn’t have to be a chore. At www.UHCSR.com, your students can review their policy details and rates, and then enroll in 7 easy steps. Once they’ve paid with a credit card or check, they are done! Their new coverage is automatically loaded into our system, and the student is mailed a laminated ID card.

We don’t stop there, though. Students who enroll online have access to a wealth of self-service options: plan and coverage details, locating a network provider, claims status review, updating of personal information like address and phone number, online request for replacement ID cards and email access to our Customer Service department.

My Student Health ZoneWe know another thing about college students; They generally don’t seek care unless it is absolutely necessary, and they are often embarrassed to ask health care providers certain questions. Enter our exclusive college-targeted health site, www.MyStudentHealthZone.com.

My Student Health Zone provides the equivalent of 80 encyclopedias of health information written and presented especially for college students by our partner, the Nemours Center for Children’s Health Media. With no ads, just information, My Student Health Zone is freely accessed by all our schools and their students.

A new partnership that will improve student health plans.Harvard Pilgrim Health Care has partnered with UnitedHealthcare StudentResources to benefit your college or university and your students:l A student health insurance plan offering the broad Harvard Pilgrim network in Massachusetts, Maine

and New Hampshire and the national PPO networks of UnitedHealthcare in other states.l Affordable and flexible options that meet your unique benefit needs and leverage StudentResources’

capabilities as a leading administrator of student health plans.l Programs to reduce costs through an enhanced level of Nurseline and health center integration.l Streamlined administration through online tools.l Seamless transition support and implementation for you and your students.

Who are we?l Harvard Pilgrim is a full-service, not-for-profit health benefits company serving members throughout

Massachusetts, New Hampshire, Maine and beyond. Throughout its 35-year history, Harvard Pilgrim has built a reputation for exceptional clinical quality and member satisfaction. Harvard Pilgrim consistently ranks among the nation’s highest-rated health plans*. Harvard Pilgrim’s affiliate, HPHC Insurance Company, underwrites the student health plans.

l UnitedHealthcare StudentResources has been dedicated to the student market for almost 40 years. StudentResources is a leading administrator of student plans and offers self contained underwriting, claims, customer service and sales. In December 2006, StudentResources was purchased by UnitedHealthcare, merging the financial strength and network reach of UnitedHealthcare with StudentResources’ decades of pre-eminence in the student market.

l In 2005, Harvard Pilgrim and UnitedHealthcare formed an alliance to offer plans with access to providers across the nation. These plans have been well received in the marketplace, and today there are more than 1.1 million members served through this alliance. With the addition of student insurance to the product portfolio,UnitedHealthcare StudentResources and Harvard Pilgrim Health Care bring one of the most flexible administrative platforms and comprehensive provider networks to the student insurance market, which undoubtly sets us apart from the competition.

Our service makes the grade.Focusing on the fundamentals of outstanding Customer Service—exhaustive training, consistent quality, unit productivity, active coaching and performance management—our Customer Service team meets and exceeds our high standards of excellence. Members of this team participate in an ongoing performance management program that results in A+ team members and strong, focused service to schools, students and providers.

* Source: Quality Compass® 2004, 2005 and 2006 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality.