WHY HEMISFERICA?

Hemisferica as your Business Partner

For years employers have been limited to the same employee benefit alternatives, but these days they are demanding much more than just healthcare from benefit providers, HMO’s and other managed care organizations. Aside from cost stability, employers expect premium reductions from their health benefit providers. In order to achieve this and still maintain profitability HMO’s, Insurers and managed care organizations require operational efficiency and competitive pricing. Many Insurers, HMO’s, TPA’s and other managed care organizations have discovered the potential of outsourcing their business processes for maintaining operational excellence and maximizing profitability. These firms have been able to reduced their administrative expenses and have enabled them to generate stable loss ratios without sacrificing the quality of care their members receive.

Today, major employers providing health benefit coverage for employees and their dependents are requiring faster claim adjudication facilitated by electronic data interchange (EDI). This technology permits a lower reserves build-up resulting in healthier cash-flows and faster loss ratios determination.

As an outsourcing partner to our clients, we provide this administrative and operational edge. Our long-standing relationships with our clients act as proof of our excellence in service. We have been endorsed by major providers and leading carriers in Puerto Rico and the United States. Through over 25 years of industry experience and operational know-how our staff of highly qualified professionals has developed the efficient and technical processes that allow us to meet our customer demands.

Our commitment to the future and to our clients is to expand our healthcare services and infrastructure through our Health Business Initiatives. Over the years we have built our businesses by providing the highest quality service and adding value to our clients. The result: We now service over 2.1 million lives in dental and vision benefits.