Who we are

Medical Benefits Administrators of MD, Inc. (MBA) is an employee benefit administration firm which provides state of the art group employer/employee benefit administration services. Our services assist both large and small businesses and national associations by offering flexible benefit plan designs and consulting services. We deliver these services with expertise and technology and employers and employees can be assured their medical benefit program will be managed in a cost effective manner.

What we do

Our benefit administrative services do not stop at plan design and consultation. We offer a variety of administrative services. From enrollment to processing medical claims, MBA works to exceed the employer’s expectation with every encounter.

MBA assigns every client a Group Service Representative team who will guide the employer through the enrollment process. These knowledgeable team members know the ins and outs of enrollment procedures and handle day-to-day needs and answer questions.

Employee’s needs are addressed by MBA’s Customer Service Department. Extended service hours give participants the flexibility to call at their convenience. What’s more, representatives have access to real-time claims information, meaning 95% of employee inquiries can be resolved with one phone call and within minutes.

Claim processing is an important part of what we do. But MBA does more than just “process” a claim. We strive to provide businesses and associations with peace of mind. We do this in two ways – experienced claims examiners and the smartest technology. Our examiners have an average of 10 years of medical claims processing experience. Medical claims are processed through QicLink, either via ClaimsLink electronic receipt or by HCFA or UB92 input. ClaimsLink is an Electronic Data Interchange (EDI) clearing house. Once each claim is processed MBA receives an electronic receipt. By using this industry standard processing service and employing expert claims examiners, we can track claims at every point in the process and consistently receive a near 100% accuracy rating.

MBA also provides utilization review and case management through a relationship with Strategic Health Development Corporation (SHDC). SHDC provides national 24hr/7days pre-certification, utilization management, peer review and large case management services. Pre-certification of hospital stays and outpatient surgery allows for early identification of major health concerns, monitoring of acute care, and planning of appropriate post discharge care, in an attempt to return a patient to an optimum quality of life.

MBA retains two outside actuaries to provide actuarial services in conjunction with all of its benefit business.

MBA takes an active role in helping employers manage plan costs and deliver administrative services intended to directly and indirectly control rising healthcare costs. Every client is entitled to a complimentary mid-year plan review that includes a claim cost and utilization analysis, plan design review and multi-year plan strategy. Lastly, we custom fit medical benefit services to best meet employer needs and welcome the opportunity to discuss new innovations that are right for your business. We look forward offering you the peace of mind our existing customers already enjoy.

For more information about MBA medical TPA services, please e-mail us at info@mbamaryland.com.