The Key Family was founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical plans.
Since that time the Key Family has grown to become one of the country’s largest independently owned third party administrators, supporting a wide variety of group benefit plans.
With its two major locations in Indianapolis, Indiana, and Fort Mill, South Carolina, the Key Family is a commonly held group of benefits-related organizations with over 400 employees, over 2,800 corporate customers, over 500,000 members, and in excess of $1.2 billion in fully insured premium equivalent under management. The Key Family processes more than 4.2 million claims annually and handles over 330,000 customer phone calls each year, all with The Key Family World Class Service.
We are committed to upholding four key principles:
Fundamentals, Extraordinarily Well — While our other principles add great value to doing business with us, our first priority is to deliver the fundamentals at world-class service levels.
Claims — Less than 5 business days turnaround with 99%+ accuracy
Customer Service — Less than 20 second speed-to-answer and < 1% call abandonment
Reports — Employer Reporting System (ERS) for comprehensive employer-level data & American Health Data Institute (AHDI) reports for meaningful provider and peer analysis
Innovation in Cost Control — The Key Family works with every client to favorably impact the total cost of the benefit delivery, maximizing the plan’s efficiency and reducing the cost to do business with us.
Physician Profiling and Episodic Claim Analysis — Promote high-quality, cost-effective care
Monitor and Manage 19 Chronic Diseases and Capture Co-Morbidities
Supplemental and Consumer-Driven Healthcare Plans
Strategic Partnerships — CostPro, Caremark, Transamerica, Assurant, MBI, Fidelity Security Life and others.
High-Tech, High-Touch Service — Technology is not an end, but an important tool the Key Family utilizes to enable effective, compassionate service to our covered participants.
Healthcare Navigator Nurses — Experienced healthcare coaches for the chronically ill
ClinicaLogic (Trizetto) – Applies over 90,000 edits to auto-adjudication process
Explanation of Benefits Spreadsheet Summary for “Frequent Filers”
Shared Strategic Leadership Role with Each Client — Through active relationship management with human resources, finance, and senior management, the Key Family is dedicated to the success of each client’s benefits program.
Integrated Team Supporting Employer and Employees
Ongoing Benefit Program Analysis and Review
Employer Coalitions
Member of federal HHS National Healthcare Information Infrastructure Project
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