Core Benefit Administration System

Etharums ser quidem rerum facilis dolores nemis omnis fugats vitaes nemo minima rerums unsers sadips amets.

KEY BENEFITS

Drives high auto-adjudication rates

Flexible rules-based & programmable benefit plan administration

Manages Consumer Driven Health Plans (CDHP)

Complex data integration to vendors/HR systems

IMPROVED ACCURACY WITH ADVANCED HEALTHCARE CLAIMS PROCESSING

HealthAxis Group’s Core Benefit Admin system offers a mature complement of SaaS based healthcare benefits software solutions for benefits administration and healthcare claims processing. The system includes benefits enrollment, member management, billing, claims workflow, auto-adjudication, and consumer-driven health plans, allowing access to technology with low ongoing costs and efficient benefit plan administration.
Our system is fully capable of administering all types of health plans including commercial insurance, Medicare, Medicaid, self-funded (TPA or first party payer) plans, IPA’s, and ACO’s. It is fully integrated with our Front-End® systems capability and our web portals allowing for the complete integration of member management and claims processing from claims receipt to claims payment.

KEY 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
  • Supports high auto-adjudication rates
  • Comprehensive benefit plan, DOFR and fee schedule configuration options
  • Electronic EDI for Claims, Encounters, EOR, EOB and eligibility request and response; HIPAA 5010 ready
  • Integrated Document Management and BPO Services Available
  • HCC and P4P administration, tracking and reporting

THE HEALTHAXIS SYSTEM IS INCREDIBLY POWERFUL

HIGH AUTO ADJUDICATION RATES
FLEXIBLE & RULES-BASED
MANAGES CONSUMER DRIVEN HEALTH PLANS
BENEFIT PLAN CONFIGURATION
REAL-TIME CLAIMS WORKFLOW ENGINE
SECURE DATA STORAGE