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UICI Administrators Selected to Administer Claims for the United Mine Workers of America Health and Retirement Funds.

DALLAS--(BW HealthWire)--Feb. 9, 1999--

UICI To Incorporate Insurdata Imaging Services and Other

Technology Solutions to Handle Claims Administration for the 80,000

Retired Union Miners and Dependents Covered Through the Funds

UICI Administrators, a third-party administrator of healthcare benefits that is a subsidiary of UICI (Nasdaq:UICI), has been selected to be the medical claims administrator for the United Mine Workers of America (UMWA) Health and Retirement Funds ("the Funds"). Under the terms of a five-year, $40 million contract, to be negotiated between UICI Administrators and the Funds, UICI will administer claims for the group, which covers some 80,000 eligible beneficiaries. UICI Administrators will perform the complex claims administration process using innovative technology solutions provided by Insurdata Incorporated.

The Funds has provided pension benefits and coverage for health services to eligible retired UMWA union coal miners and their dependents for more than 50 years. All Funds' beneficiaries have coverage for a comprehensive array of inpatient and ambulatory care services, including prescription drugs.

"We are delighted to have the Funds as a client and we are confident that our combination of sound management practices and innovative technology will deliver the quality of service the beneficiaries require," said Diana Valdez, president of UICI Administrators. "UICI Administrators and Insurdata are embracing Web-based technologies in the administration of healthcare benefits. Through the Internet, we will be able to connect all constituents who participate in the delivery of medical benefits."

More than 80 percent of the Funds' beneficiaries are Medicare recipients. The Funds is the site of an innovative HCFA (Health Care Financing Administration) Medicare demonstration that includes risk assumption by both parties. HCFA provides a capitation payment (per beneficiary, per month) to the Funds for Part B services otherwise administered by Medicare Part B carriers.

Under the demonstration, the Funds is entirely at risk for the affected Medicare Part B services provided to all Funds' Medicare beneficiaries. The Funds is responsible for reimbursing providers for covered Part B services throughout the year and managing the utilization of services in a manner consistent with the provision of high quality, cost effective care.

The Funds shares risk with HCFA for the services provided to some 20,000 beneficiaries under Part A of Medicare. On July 1, 1999, the Funds' Part A risk sharing arrangement with HCFA will be extended to cover all Funds' Medicare-eligible beneficiaries. The Funds' Medicare Part A claims will continue to be administered by HCFA's designated fiscal intermediaries.

In addition to administering all medical and hospital claims for the Funds' non-Medicare beneficiaries, UICI will process claims on behalf of the Funds for the Medicare Part B services covered by the capitation payment. UICI will pay the Funds' claims at Medicare rates according to Medicare rules and procedures. UICI Administrators will scan claims into the system at an expected volume of 184,500 claims per month, creating electronic images that can then be routed to the appropriate parties for review and payment. The imaging process incorporates OCR/ICR functionality, which allows for greater accuracy in transferring claims information into electronic form. In addition to imaging and Internet services, the new system will also use IVR (Integrated Voice Response) technology that will allow provider and beneficiary direct access to information.

About Insurdata

Insurdata, based in Irving, Texas, is a leading supplier of technology solutions and services to the claims and administration segment of the healthcare industry. For more than 20 years, Insurdata's technology innovations in the areas of workflow and processing solutions have enabled customers to reduce administrative costs and turnaround time, and improve information access. Insurdata's customers include preferred provider organizations, managed care organizations, insurance carriers, Blue Cross/Blue Shield organizations, third-party administrators, and self-administered employers. The company was recently named among the "Top 100" healthcare information technology providers by a leading industry trade publication. More information about Insurdata Incorporated is available at http://www.insurdata.com.

About UICI Administrators

UICI Administrators, based in Irving, Texas, is a third-party administrator with extensive experience providing large, self-funded employer groups and municipalities characterized by multiple groups and locations, with comprehensive and customized healthcare benefits administration services. UICI Administrators is well-positioned to provide such employer groups with the most technologically advanced tools available in the healthcare marketplace, including imaging and workflow solutions and Web-enabled technology, because of its affiliation with Insurdata Incorporated as part of the UICI family of companies.

About UICI

UICI (Nasdaq:UICI) is a diversified financial services company headquartered in Dallas. Through its subsidiaries, UICI offers insurance and financial services to niche markets. UICI companies also provide technology and outsourcing solutions to the insurance and healthcare community.
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Publication:Business Wire
Geographic Code:1USA
Date:Feb 11, 1999
Words:766
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