We pride ourselves on our smart approach to doing business. Our services are better in results and faster. We leverage best practices, technologies, methodologies and approaches to provide desired quality services to our clients.
All new small business groups and small business groups changing plans will be required to purchase ACA compliant plans. A process exists that automated the rate load for ACA plans which doesn’t automate Non-ACA plans.
Health Plan have very specific Premium rates based on various factors which include age, gender, location, industry, health habits and other factors.
Due to which Premium rates that need to be loading into Membership & Billing application (Facets) can go up to million records for a large health plan.
Manually loading the Premium rates is very expensive, time consuming, error prone and insecure.
Automated solution was developed with following features.
Business/Underwriting had the ability to load Premium rates directly without any manual intervention.
Business has the ability to view the validation failed records.
Thousands of records were loaded in seconds.
Reads the rates available for multiple plans on different tab of underwriting file at a time and loads after all the business validation.
100% Premium rates were loaded without any errors.
Business was able to save months of manual entry time.
Health Plan saved millions on a yearly bases.
Application was developed for Affordable Care Act plans but the solution is now used for all lines of business.
Designing dynamic tool enabling ability to handle upcoming or future products rates.
Usage of wraparound technologies that can complement the system and provide an alternative technology for business functionality.