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Features
Enrolls members online. Collects complete member demongraphic and contact information including other coverage and transferring insurance information.
Manages flexible eligibility rules. Addresses group, health plan and state-specific eligibility rules on a real-time basis.
Addresses concurrent member events. Captures complete employee status and allows for member life event changes online.
Integrates directly with health plan systems. Accommodates batch processing with health plan systems in HIPAA-compliant formats. |
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Benefits
Amplifies administration. By moving enrollment online, paperwork, quality reviews and data entry are all reduced. |
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HIPAA compliant. Meets HIPAA standards on privacy
and transaction sets. Conforms with W3C XML and
ANSI X12 Standards.
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