Health Benefits Systems
Manage. Process. Pay.
Managing and processing yards of data is serious business; especially when the data relates to a family's health. Your administration system needs to act fast and produce exact results. We work closely and collaboratively with our clients to build a system that supports your work processes.
Sometimes data entered is inaccurate resulting in inaccurate information output. Our Benefits System provides control measures helping the user catch inaccuracies, whether these errors are user or Employer generated.
We are always building upon our past installations. With over half a dozen Health Benefits System installations over the past 10 years, our production standards have consistently improved. This means better software powering your administration.
A Total Health Benefits System
Our full cycle Health Benefits System starts with the everyday administration tasks through to the adjudication of all benefits including:
- Dental
- Extended Health
- Weekly Indemnity (Short Term Disability)
- Long Term Disability
Health Benefits Plan Administration
| Member Data Maintenance | Maintenance of all data relating to the Member and their Dependents | |
| Establishing Eligibility | Establishing member eligibility based on plan rules. Examples include hours-based, salary-based, or contributions-based. | |
| Employer Data Maintenance | Maintenance of all data relating to the Employer including contribution rates, contacts, outstanding balances | |
| Accounting | All accounting processes including invoicing, receipt of cash, funds deposits | |
| Ad Hoc Reports | Produce any number of ad hoc reports through running a data request selecting only those fields you wish to analyze. | |
| Monthly Reports | Standard set of monthly reports including Invoice reports, remittance reports, register reports | |
| Expense Cheque Writing Module | Organize and automate cheque writing by following a few simple steps | |
| Bank reconciliation | Reconcile with your bank or custodian's bank records | |
| T4A processing | Process T4A forms for taxable benefits right from the Administration Program Screen |
Health Benefits Adjudication
| Dental | Dental and Denturists Fee Guides for up to 26 different jurisdictions Claims paid to Member, or Dentist Pre-Authorizations Integration with Co-ordination of Benefits Reserve Analysis Dental Statistics Cheque payment or Electronic Funds Transfer to Dentist or Member |
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| Extended Health | Drug Card option (currently interfaced with ESI Canada) Co-ordination of Benefits All Extended Health benefits as dictated by Plan rules Reserve Analysis Extended Health Statistics |
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| Weekly Indemnity | Cheques issued on a weekly or bi-weekly basis according to plan rules Reserve analysis Statistical analysis |
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| Long Term Disability | Cheques, or EFT payment Established from WI Claim Reserve Analysis Statistical analysis |
Contact Us to discuss your unique challenges.
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