EbixEnterprise Claims

EbixEnterprise's Claims Administration software efficiently manages the processing of specific benefit areas for each unique line of business. These areas include the administration of Health, Dental & Vision, Reimbursement Accounts (including Flex, HRA, HSA and Debit Card processing), Absence Management for Long and Short Term Disability, Group Life & AD&D, Medical Management including Utilization, Case and Disease Management, Billing & Finance, as well as a comprehensive reporting system.

Highlights

• Integrated document imaging
• Electronic workflow
• Electronic family files including images for efficient customer service
• Accounting-based core functionality
• Consolidated billing functionality for group or individual
• Electronic funds transfer for payments to providers, participants and vendors
• Unlimited range of benefit plans
• Detailed auditing
• Customizable explanation of benefits (EOB) with web delivery
• Complete medical management solution including utilization review, case and disease management
• Government compliance
• HIPAA EDI solution
• ICD-10 compliant