Connect With Us

800-350-8656

9700 Great Seneca Hwy
Rockville, MD 20850

info@3CLogic.com
sales@3CLogic.com
"enhanced reporting"
Not only did we get all the features of our old system with 3CLogic, we got enhanced reporting features that are pictorial, graphical and intuitive.
-Mohit Adalkha,
Assistant General Manager,
Spanco BPO
"endless opportunity"
Since deploying 3CLogic’s Contact Center solution, we are presented with an endless opportunity for business and sales growth.
-Dale McCrary,
VP of Technology,
Sopra Brands
"state of the art product"
3CLogic has come out with a state of the art product that is based on a combination of Cloud Services and Distributed Computing Architecture.
-Alvaro Ramirez,
Cediva

Cloud Call Center Community Featured Article

TMCNet: Oregon Fines Health Insurer for Claims Denials

[January 01, 2009]

Oregon Fines Health Insurer for Claims Denials

(BestWire Services Via Acquire Media NewsEdge) The Oregon Department of Consumer and Business Services has fined PacifiCare Life Assurance $46,000 for improperly denying nearly 5,000 legitimate health claims over three years.

The department?s Insurance Division began an investigation after a woman complained that PacifiCare refused to cover six of her seven medical claims, Director Cory Streisinger said in a statement.

The investigation found that PacifiCare was denying claims without contacting the people who made the claims or their health care providers to determine whether the services were covered, Streisinger said.

?Oregon law requires insurers to conduct a reasonable investigation before refusing to pay claims, and that didn?t happen here,? Streisinger said.

PacifiCare, a member of UnitedHealth Group Inc. (NYSE: UNH), reviewed more than 10,000 claims it denied during a 21-month period beginning in September 2005 and determined that it should have paid 4,928 of them, he said. Those claims have been paid, Streisinger said.


PacifiCare insured nearly 13,000 Oregonians and earned $42 million in health premiums in Oregon in 2007, Streisinger said.

Earlier this month UnitedHealth Group settled, without paying a penalty, a civil lawsuit filed by the U.S. Securities and Exchange Commission that alleged the backdating of stock options by senior company executives (BestWire, Dec. 23, 2008).

PacifiCare Life Assurance currently has a Best?s Financial Strength Rating of A- (Excellent).

UnitedHealth Group stock was trading at $26.53 a share on the morning of Dec. 31, down 1.89% from its previous close.

(By Alyn Ackermann, senior associate editor, BestWeek: Alyn.Ackermann@ambest.com)

Copyright ? 2009 A.M. Best Company, Inc.

[ Back To Homepage ]

Resources

Top 5 Disadvantges of Outsourcing
All businesses alike, no matter what goods and services they provide, strive for 100% customer satisfaction. Any decrease in customer satisfaction rates, whether it is through customer service or product interactions can be detrimental to your company's success.
Read More »
The Five Most Dangerous Mistakes Sales Organizations Make
Studies show that the odds of contacting a lead if called in 5 minutes versus 30 minutes drop 100 times. The odds of qualifying a lead if called in 5 minutes versus 30 minutes drop 21 times.
Read More »
Remote Agents in the Cloud!
As an upcoming business owner, you want to make sure you decrease your costs and boost your profits as much as possible. If you run an in-office call center business, you need to worry about managing agents as well as all of the necessary equipment to administer your leads.
Read More »

Cloud Based Solutions Brochure


areg
Contact Centers Made Simple by 3CLogic

3CLogic News

Online Certification Tests from 3CLogic Enhance Quality Assessments for Contact Center Agents and Managers
November 19, 2011
Launch of new 3CLogic University facilitates business growth with certified Call Center staff. Online tests assess agents’ and managers’ contact center knowledge.
Read More »
3CLogic to Double Efficiency of Contact Centers with the Addition of Blended and Multi-Channel Functionalities
October 26, 2011
3CLogic removes barriers for call centers to move to a cloud based service with multi-channel interactions including email, text, voice, and chat. Call blending in the cloud can increase new revenues for businesses by as much as 40%.
Read More »

White Papers

Hosted Contact Centers
In a contemporary era, communication with global citizens calls for global technologies. This means that the hosted contact centers need costly equipment and solutions that cater to modern day needs. They need to be constantly upgraded to give a satisfying experience to the customers.
Read More »

3CLogic Videos