Ebix brings enrollment, eligibility, policy and contract administration, billing, claims, and compliance together on one secure, AI-ready platform. Carriers, payers, TPAs, and employers use it to reduce duplicate work, gain real-time operational visibility, and scale from mid-market groups to complex, multi-state programs.
Connect quoting, enrollment and policy administration across health and voluntary benefits. Help distribution and administration teams move information through the insurance workflow with less re-keying.
Manage eligibility, policies and contracts within health and voluntary benefits administration. Support the operational needs of carriers, payers and third-party administrators.
Bring claims and benefits processing into a unified administration workflow. Support accuracy, compliance and efficiency for the teams responsible for member coverage and claims.
Manage billing and commissions alongside policy and contract administration, keeping financial processes within the broader health and benefits workflow.
Support brokers, agencies and employer-facing administration teams with connected quoting and enrollment workflows. Keep the path from selecting coverage to administering benefits in view.
Give employees a clear view of the benefits their employer provides through BSI benefit statements. Support HR teams in communicating benefit information and helping employees understand its value.
Employers · Brokers · Benefits Administrators · Claims Administrators · Health Plans · Carriers · TPAs
Help employees choose coverage and understand their benefits.
Guide clients from coverage choices to enrollment.
Keep coverage and member information current.
Apply benefit rules and manage claims administration.
Connect coverage with the teams administering it.
Connect distribution, coverage and administration.
Run benefits administration for the organizations you serve.
EbixONE
Our health and benefits AI work covers plan information, quoting and the teams administering coverage.
Extract and interpret health plan documents and insurer files into structured data for administration systems.
Support multi-carrier health quoting and plan comparison within an updated quoting workflow.
Prioritize work, compare information, summarize meetings and ask questions about operations, with user confirmation and audit trails.
Explore the products, the workflows
and where to begin.
US third-party administrators need to manage eligibility, benefits, claims and financial administration across the plans they serve. A platform evaluation should examine plan rules, employer groups, operational exceptions and reporting needs. EbixEnterprise is one option in this category, supporting health and voluntary benefits administration from quoting and enrollment through policy administration, billing, claims and commissions.
Explore EbixEnterpriseA connected quote-to-card workflow carries coverage selections and enrollment information forward to administration and member card issuance. The key is keeping member, plan and coverage information consistent across each handoff. Ebix’s Quote to Card offering addresses this journey within its broader health and benefits portfolio, helping distribution and administration teams reduce separate re-entry of information.
Explore Quote to CardEligibility and benefits administration should keep member coverage, plan rules and policy records aligned as circumstances change. Buyers should examine how a system handles enrollment updates, effective dates and exceptions, and how those records reach downstream teams. EbixEnterprise supports eligibility, benefits, policies and contracts within its health insurance administration environment.
Explore benefits administrationLook for a fit with the benefits you administer, the claims your teams process and the exceptions they must review. A useful demonstration should follow a claim through the relevant coverage and benefit rules, showing where operations staff intervene. Ebix’s Claims Administration offering supports claims and benefits processing for carriers, payers and TPAs within the broader administration workflow.
Explore claims administrationManaging billing and commissions alongside policies helps connect financial activity with the coverage being administered. An evaluation should follow changes in coverage through billing cycles, commission arrangements and reconciliation, including links to financial systems. EbixEnterprise includes billing and commissions within its policy and contract administration scope, making it relevant to this connected operating model.
Explore the platformStart by identifying where coverage choices, employee information and enrollment changes are repeatedly entered or checked. Connected quoting and enrollment workflows can reduce those handoffs while giving administration teams a consistent starting record. Ebix supports broker, agency and employer-facing workflows through Quote to Card and the broader EbixEnterprise health and benefits administration platform.
Discuss your workflowPersonal benefit statements bring an employee’s benefit information into a clear, individual view. They help HR teams explain what the employer provides and give employees a more understandable reference than separate benefit documents. Ebix’s BSI benefit statements address this communication need. They are distinct from a wellness portal, which supports participation in health-related programs and activities.
Explore BSI benefit statementsUseful starting points include interpreting plan documents, preparing structured plan information and helping teams prioritize or understand their work queues. Buyers should ask which functions are available in the specific product and how people review outputs. Ebix’s health AI work spans plan building, quoting and administration assistance; its proposed agentic payer framework is a separate development proposition.
Explore health AI initiativesA focused modernization can begin with a workflow such as quoting, enrollment or servicing, provided its data exchanges and operational dependencies are understood. First identify what will remain in the existing environment. Ebix’s health portfolio spans distribution and administration, allowing a discussion about a focused capability or a broader platform based on the systems and workflows involved.
Discuss your starting pointBuild the evaluation around representative work: enrollment changes, eligibility checks, claims exceptions and billing handoffs. Document your benefit types, current systems, users and required data exchanges, then ask vendors to demonstrate those scenarios. For an EbixEnterprise evaluation, this gives the team a concrete basis for mapping platform capabilities to your health and benefits operations.
Talk to the health team