Member & Provider Comm.

Member & Provider Communication solutions give employers, health plans, TPAs, healthcare providers, employees and plan members efficient online access to claim, eligibility and plan information. These online solutions include Desktop, a flexible, customized homepage environment; Employee Self-Service for claim status and EOB lookup as well as online service requests; Online Enrollment, for medical and ancillary benefit plan enrollment; Provider Self-Service for hospital and physician office lookup of member claim status and eligibility information.

Each service can be customized and branded for each customer. Member & Provider Communication solutions are online all the time, 24/7.

Member & Provider Communication Functions
  • Online Desktop application for provider, employer, employee and member
  • Employee Self-Service of claim status and EOB
  • Single sign-on to third party wellness, incentive and provider applications
  • Provider Self-Service of eligibility and claim status
Capabilities include:
  • Member claim, flex, HRA, HSA history and status
  • Member EOB/claim status review
  • Online system activity tracking and auditing
  • Online customer service with electronic bulletin board
  • Electronic document distribution to employers and employees
  • Health and wellness information
  • Integrated census management
  • Adjudication system integration
  • Customized online service requests by employee and/or employer 
Click here to view Member Communication information sheet
Click here to view Provider Communication information sheet
 
Click here to view Member Communication Flash video