Administrative Features
  • Rapid enrollment
  • Disability processing
  • Eligibility tracking
  • Section 125 Flex benefits
  • Auditing functions
  • Group billing
  • Retroactive billing
  • Billing inquiry
  • Premium/cash receipts
  • Self pay administered
  • Fund tracking and accounting
  • Advance payment tracking
  • Aging/delinquent reports
  • Disability waivers
  • COBRA
  • Workers’ compensation processing
  • Customized reports available

Claim Payment Features
  • Dynamic claim inquiry
  • Claim logging
  • Fully adjudicated claim payment
  • On-line editing
  • Batch adjudication
  • Medical, Dental, Vision, Life,Disability, Medicare Supplement,Rx, and Section 125 claims processing
  • PPO subsystem
  • UCR, Ingenix, CRVS and PPO fee schedule tables
  • Automated claims re-pricing
  • Examiner production reports
  • ADA, DRG, and CDA tables
  • Electronic Data Interface
  • Claims edit interface
  • Remote location claims processing

Underwriting/Actuarial
  • Extensive data collection
  • Risk evaluation
  • Analyze census data
  • Determine utilization patterns
  • Forecast losses
  • Rate structure analysis
  • Rating

Additional Features
  • Internal claims audit system
  • Diary module
  • Check reconciliation
  • Pre-authorization
  • Flexible menu system
  • Complete data security
  • User friendly
Features
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