About RCI

Regional Care, Inc. (RCI) is one of the nation’s premier independent third-party administrators. We have continued to grow our business by offering unique products and delivering exemplary services to our clients and broker partners while managing health care costs effectively.

Your one-stop shop

As a 'one-stop-shop', RCI offers a complete portfolio of products and services for self-insured companies, either directly or through partnerships.  This results in a high level of flexibility to clients and their brokers in the selection and design of innovative benefit plans.  Customization is key; employers are encouraged to tailor plans specifically to the needs of their workforce.

Quality, Cost-Effective Health Care Solutions...Personalized, Flexible Service

At RCI, we offer more than just cookie-cutter solutions - we offer professional and personalized claims service for every employee, ensuring that the claims process doesn't become a bigger issue than the original health care concern.

RCI serves over 200 clients with members in all 48 states- from right here in western Nebraska.  We have teamed up with best-in-class business partners, from leading PPO networks in each geographic area, to care management companies, telemedicine providers, and transparency tools - all the components needed to manage costs and provide a great member experience.

Medical Management
As businesses grow, often so do insurance costs. RCI manages health care costs effectively by utilizing a variety of tools, including medical management. In addition, on-site clinical staff is supported by the resources of some of the nation's leading medical management companies, allowing us to: provide tools to covered participants to manage their health status; ensure that proposed services are medically appropriate and delivered in the correct setting; actively manage the most acute conditions; intervene with patients who are chronically ill or non-compliant with treatment for a condition to ensure that their condition is not exacerbated.

Pharmacy Benefit Management (PBM)
We are committed to partners that are ethical and transparent in their business dealings, as well as 100 percent focused on delivering the lowest net cost for the most effective drugs. RCI has made a substantial investment to fully integrate with a multitude of independent PBMs so that pharmacy data flows through claims and predictive modeling systems.

Online Solutions
With RCI's online portal, it's easy for employers and members to manage health care information, day or night: request ID cards, view eligibility and claim status, view and/or print Explanation of Benefits (EOB), see your out-of pocket and deductible accumulations, elect to receive EOBs electronically, see flex savings account balances, receive automatic claim notification, contact us quickly and easily, see your schedule of benefits, activate your Benny card, if available.

Client Services and Support
With typical Midwestern friendliness, client services and support is one area in which RCI prides itself. Members can go online, day or night, to view the status of claims for themselves, as well as for their dependents. We know that fast claims service is important to our customers - RCI's experienced claims representatives typically turn around claims in five to seven business days. We believe that it's not only critical to process client claims accurately and timely, but is essential that members are able to reach customer representatives directly. In addition, RCI ensures that providers of care can access the information they need in order to concentrate on the delivery of care.