• Member and Provider Portals:
    • Customized dashboards
    • Self-service functionality on secure website and mobile app
    • Real-time access to eligibility, claim status, authorization status, customer service and other services
    • Electronic Data Interchange gateway
  • Customer Service:
    • 360 degree view allows for customized interaction and increased retention
    • Cloud virtual call center integration
    • Computer Telephony Integration
    • Multi-media document generation
  • Membership and Billing:
    • One-click enrollment
    • On demand bill generation
    • Instant premium collection and posting
    • Easy navigation for entering, retrieving and inquiring about data
  • Claims Processing:
    • Configurable benefit system
    • Multi-tier plans
    • Value based benefit designs
    • Real-time settlement and liability determination
    • Paperless EOB processing
  • Population Health Management:
    • Reduce health care expenditures
    • Integrated mobile and web wellness campaign
    • Real-time plug-and-play link with external platforms
  • Reporting:
    • Easy access to accurate information
    • Single source of truth for operational data
    • Easy import to external data warehouses
    • Ability to leverage existing data analytics with minimal disruption

  • Secure Hosting:
    • Secure HIPAA, PCI, and HITECH hosting
    • One of the largest health care data centers in the United States
    • Multi-layered security structure