Claims Administration
Customer
Service Maxon performs all functions attendant to the efficient administration of a client’s plan of benefits. These functions are performed by the operational interface of professional claims personnel and a state of the art data processing system. Adjudication decision-making resides in the hands of expert personnel with an average experience of 10 years. Benefit calculation and data base management are provided by a Fujitsu/Siemens RM600 series, Unix based enterprise server, running proprietary benefit management applications.
Our claims administration application incorporates U&C, RBRVS, and custom schedules, while integrating in-network and out-of-network benefits.
Customer Service
Maxon’s customer service department is accessed through a nationwide 800 service. It also maintains a TTY service for the hearing-impaired.
Most importantly, Maxon’s customer service department does not access a voice mail system during normal business hours. This decision was reached because we want a person to be at the other end of a call from a claimant.
On-line access for claims status is also available.