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Get Section Two - Cleveland Clinic Home - Clevelandclinic

(Antares) functions as the Third-Party Administrator (TPA) for Cleveland Clinic Employee Health Plan (EHP) Total Care. In this role, they are responsible for: 1. Member eligibility verification 2. Benefit coverage determinations 3. Processing claims and claims appeals 4. Issuing statements of Explanation of Benefits (EOB) 5. Coordinating benefits if a member is covered by more than one health plan 6. Subrogation processing 7. Workers Compensation coordination Information regarding contacting.

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