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
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Online Desktop application for provider, employer, employee and member
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Employee Self-Service of claim status and EOB
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Single sign-on to third party wellness, incentive and provider applications
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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
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Click here to view Member Communication information sheet
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Click here to view Provider Communication information sheet
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Click here to view Member Communication Flash video
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