Kanawha HealthCare Solutions (KHS)

Kanawha HealthCare Solutions, Inc. (KHS), a wholly owned subsidiary of Kanawha Insurance Company, is the administrative and managed care division that focuses on assisting self–funded employers by creating flexible employee-focused benefit plans and managing and processing claim activity.

KHS was created to provide high quality, seamless benefit plan administration for the growing number of companies choosing to self-fund. Our background includes the development and management of PPO, POS and HMO style delivery systems on an insured and self-funded basis focusing on controlling utilization and cost while improving outcomes.

This background is at the heart of what makes KHS unique from other TPAs; the philosophy that we are not here to just pay your claims, but to manage your claim dollars, and thus provide the best possible health care coverage for your employees, while watching out for your bottom line.

What is it we do that makes us so different from other TPAs:

KHS has an on-site AAHC/URAC accredited (since 1993) Medical Management group comprised of 11 full-time professional nurses with extensive clinical experience. KHS is one of only 13 of the 169 regulated URO/Insurance Companies in the Carolinas to be URAC accredited.

In addition to case and disease management, KHS’ Utilization Management program provides preadmission, outpatient, and continued stay review, discharge planning, psychiatric review, and maternity management, and is integrated into our claims and customer service departments to maximize communication and patient care, and control unnecessary utilization.

KHS is willing to "put our money where our mouth is" when it comes to guaranteeing our employer groups the highest level of service! KHS is placing up to 5% of our administration fees at risk if we do not hit key performance marks in financial and payment accuracy and customer service.

KHS continues to be an industry leader in technological innovations that increase our efficiency and make our client’s interaction with KHS simple and seamless. Each client has dial-up network access to eligibility, plan coverage, claims status, and COBRA and HIPAA information. In 2001, this information and much more can be accessed over the Internet.

Visit Kanawha HealthCare Solutions, Inc. on the internet at KHSOnline.com.