Fully functional premium billing module complete with:

• Automatic Account Generation
• Comprehensive data logging
• Advance payments
• Batch payments or other payment methods
• EFT payment request manager
• Full control over payments to manage NSF and other conditions
• Auto and manual account reconciliation
• Bad debt management

• Set up of all groups and contracts
• Manage all benefit design
• Process all claims with full auditing and quality checks
• Full reporting
• Process EOB and all other required Member or Provider required
• Seamless processing with BPO offered

• Customizable workflow to manage the member service intake and response
• Correspondence engine
• Integration with core systems
• Real-time notifications for service requests, escalations, and updates.
• Automated reminders for follow-ups, renewals, and compliance checks
• Integration with phone system
• Automate the process of capturing notes and root cause for the outreach
• Visibility for Member Services rep to key Member data through the integration
• Searchable knowledge base to facilitate supporting the member services rep in their interaction