Health and Welfare Claims Processing

Processing your members’ Health and Welfare benefit claims with the JBM Fund Administrator’s Management System (FAMS) is fast, efficient, accurate and automated.

Built upon your plan rules, we consider all aspects of your claims adjudication process including automated calculation and system verification of member eligibility, confirmation of patient, dependent, and provider, and for payment limits by types of service and specific procedures.

Member deductibles, out of pocket limits, coordination of benefits, and lifetime balances are all supported in FAMS.  FAMS is HIPAA compliant and supports encrypted claims data transmission via Electronic Data Interchange (EDI).

With our extensive multiemployer benefit fund experience, JBM will help you automate Personal Account Plans (PAP), Health Reimbursement Accounts (HRA), and Flexible Spending Accounts (FSA).

Our goal is to benefit you and your membership through well-designed, comprehensive, and trusted software applications. FAMS also supports secure web-based member access for self-service applications.

Stake your claim!  Call us at (716) 677-2510 or click to ContactUs3_133x40

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