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Our Health and Welfare Plan Administration Software includes all facets that relate to Health & Welfare issues:
- Data Collection
- Eligibility Determination
- Invoicing, Cash Receipts, Accounts Receivable
- Claims Adjudication and Payment
- Supporting Reports
The system addresses the two basic areas of Health and Welfare Plans:
- Administration - the collecting of funds and the establishing
of Member eligibility
- Adjudication - the adjudicating and paying of claims.
Plan Rules dictate benefits and eligibility, whether standard or flexible, whether through employment earnings or hour bank. Thus, a Health and Welfare Plan determines the software module that best fits the Plan rules. Equally, Plan Rules dictate eligibility and benefit coverage for adjudication, and level of benefit on claims payment.
No packaged software totally fits any specific Health and Welfare Plan - Administration or Adjudication. However, the range of software modules that is present in our package
indicate the ease of adapting to most requirements in the Health & Welfare industry; and should they not, then the expertise exists for any degree of customization.
We are a leader in Employee Benefits Software for Multi-Employer Groups (Unions, Associations) with a full complement of sophisticated software fully supported from our Vancouver premises. Online Demo