A mature SaaS based healthcare benefits software solution for benefits administration and healthcare claims processing including benefits enrollment, billing, claims workflow, auto-adjudication, and consumer-driven health plans allowing access to technology with low ongoing costs and efficient benefit plan administration.
Key Benefits:
- Drives high auto-adjudication rates
- Flexible rules-based and programmable benefit plan administration
- Manages consumer driven health plans (CDHP)
- Complex data integration to vendors and HR systems
- Flexibility for complex benefits plan design
Features:
- Complex Benefit Plan Configuration and Reimbursement Methodologies
- High Auto-Adjudication for Claims Processing
- Consumer-Driven Health Plans (CDHP/HRA/HSA)
- Powerful Online, Real-Time Claims Workflow Engine
- Integrated Medical Claims Editing and Code Bundling
- Extensive Provider Database Management Administration
- Data Integration to Vendors and HR Systems
- Customer Service Call Tracking Module
- Comprehensive Provider Management Option
- Fully Integrated Healthcare Information Technology Services
- Safe, Secure & Redundant Data Storage
- Continually Upgraded Claims Processing and Admin Software
