Benefit Plan Management

BENEFIT PLANS

Combine distinct benefit parameters to define a benefit plan provisions:

• Primary and wrap networks for the Medical benefits.
• Dental network.
• Utilization Review and Pre-Certification Vendors.
• Medicare, Late Enrollees, and Pre-Existing Condition Limitation provisions.
• Employee and Dependent Eligibility provisions.
• Designate Medical, Prescription Drug, Dental, Vision and Weekly Income schedules included with the Plan.
• Attach the Plan Document as a PDF for easy access

COMMUNICATE

Print a single benefit schedule or the complete benefit plan to distribute to plan builders, employer groups, and vendors.

Create and print a Schedule of Benefits and Coverage (SBC) for distribution to plan participants for PPACA compliance.

INTEGRATE

Benefit Plan Management is integrated with Contact Management to manage groups, networks, Utilization Review and Pre-Certification vendors. Benefit Plan Management may be accessed as a stand-alone software solution or may be combined with all applications in BenefitConnect for a complete integrated software solution for Third Party Administrators.