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