Your Independent Source to Self Funding 

Proven. Progressive. Respected.

Quick Links

If you know what you are looking for we have some quick links to help you navigate faster! 

CIGNA Kit

We have everything you need to get your group started with Cigna.  Select the link below to get to the Cigna Welcome Kit.

 

Forms

Need a form?
- Claim Form
- Enrollment Form
- HIPAA and APS Forms
- Prescription Form

 

Find A Doctor

Do you need to find a primary care doctor, specialist, lab, or hospital?  Select the link below to select your network and find what you are looking for!

 

Find a Pharmacy

Are you looking for a pharmacy.  Select the link below to select your pharmacy network to begin your search!

 

Solutions

As a Third Party Administrator we offer multiple customization solutions to meet any clients needs.  Find out more below.

 

IDA On The Go

Access IDA anytime by adding our site to your smartphone.

IDA Overview

20,000 Members

12 Provider Networks

National Access

Established 1983

The IDA Difference

Tired of endless annual premium increases, never knowing what was actually spent? Not with self funding. Pay only for charges as they are incurred. All administration costs are set in advance.  Transparency and accountability through plan performance reports - because it is your data after all.

Let IDA help you take control back!

Control Costs

Transparency

Customization

We serve both private and government employers, unions, consortiums, HIFs, brokers, providers and patients. Independently owned, we provide what you actually need, not pre-planned or canned products. Whatever aspect, from consulting to full administration or just a portion thereof, we never forget who the client is - YOU.

Solutions

  • Claims

    Medical, Vision, Dental, COBRA, HSA, HRA, FSA, Commuter and NJSHBP Differential benefits. HIPAA X12 835/37 enabled and compliant. It is what we do
    – since 1983.

  • Pharmacy Access

    With prescription inflation outpacing all other plan costs, selection of your PBM has never been more important. IDA provides national PBM access with acquisition costs that often beats consortium pricing. 100% of rebates go to our clients. Carve out specialty arrangements when needed.

  • Provider Network Access

    Evaluation and placement of the best network for your plan. National, regional, local and Reference Based Pricing solutions. Disruption and discounting studies benchmarked to your current arrangement.

  • OON Solutions

    Extensive review of medical necessity, coding and billing. Repricing and negotiation of remaining charges on a R&C, FAIR Health, RBP or percentage of Medicare basis. 

  • Reinsurance Marketing

    The essential umbrella coverage of your plan. We market extensively to multiple national markets to get the best terms, premium and attachment point for your plan.

  • Reinsurance Management

    Whether placed by IDA or not, we can coordinate filings with the reinsurer (triggers, large case notification, 50% reports, advance funding and reimbursement requests).

  • Plan Design & Building

    We can mirror ANY plan design. We consult on recommended changes and impact to the bottom line. Once finalized, we build the logic into the automatic edits of our claims system to produce the exact outcome you designed.

  • Consolidated Billing

    To make our Clients’ lives simpler. IDA provides consolidated billing, centralizing and itemizing all composite costs, and then facilitates vendor remittances.

  • Funding & Payment Fulfillment

    At IDA, your claims account is your account and your money. Claims funding is on your selected schedule where funding requests equal distributions for a zero balance account. No reserves or withholds. Traditional check and ACH/EFT payment options.

  • Reporting

    Measurement of plan performance is essential. Professional series reports for actuarial and underwriting purposes are generated through our claims system, LuminX. Summary reporting for employers and brokers are enabled through our alliance with PlanWatch.

  • Customer Service

    You can always reach a person at IDA. Our Customer Service is personal, professional and located on-site in Oakland. No outsourcing. All benefit designs and claims information is available to the representative. Our aim is to provide one call resolution.

  • Compliance

    IDA maintains multiple professional memberships to position your plan for upcoming challenges. IDA supports all annual reporting requirements, including SBCs, SPDs, SMMs, HIPAA, CHIPRA, 5500 and the 1094/1095 filing series.

  • Enrollment

    IDA works with you to design the level of involvement you wish to retain, often serving as an adjunct to your staff in initial enrollment, adds, drops and coordination of NJFMLA, FMLA, disability and leave policies as it applies to plan enrollment. HIPAA  X12 834 capable and compliant.

  • Chamber of Commerce

     IDA will coordinate all of the plan & carrier offerings, rates and consolidated billing for your Chamber of Commerce. We will also handle enrollment and customer service. We are as integrated or separate as a Chamber directs. A true partnership.

  • Additional Services

    A IDA provides back room adjudication services for other TPAs and carriers. In addition, when no conflict exists in doing so, IDA conducts audits on behalf of health plans and their advisers on a regional and national basis.

Contact IDA

Discover the difference of true self funding!
Contact us to learn more.

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IDA Is A Proud Member Of

Insurance Design Administrators

Hours

8:30 am to 4:30 pm EST

Phone

201-337-0007

Location

153 Bauer Drive
Oakland, NJ 07436