Health Insurance Exchange
The Healthcare Reform Act, with its goal to bring health insurance coverage to more citizens and residents, implies that the state health insurance exchange concept is going nationwide. Several states are working on building new solutions for the HIX.
benefitalign® offers a comprehensive cloud-based SAAS platform and solutions that were natively designed for our Health Plan customers. The solution is pre-built and configured with your preferences and business rules once. Then it is ready on the web or mobile for your direct consumer experience, or small groups on the HIX. The HIX solution empowers states to offer branded, multi-plan, multi-product web and mobile shopping, quoting, enrollment, billing and retention experiences.
Eligibility and Enroll
Help consumers and small groups shop, check eligibility, tax credits, and enroll for insurance and benefits across multiple carriers/multiple products. The benefitalign® platform automates/interfaces to Eligibility processes transparent to the consumer/groups. The web 2.0 based benefitalign® rich interface enables individuals/administrators to find online insurance quotes and guides them to the plans that are right for them. The patent-pending plan comparison features allow the demystification of the buying experience. Online videos and specific calculators are available to help to guide them through to the right plan based on medical and cost savings needs.
Billing and Payment
benefitalign® provides integrated consumer-savvy billing across multiple carriers, multiple benefits and insurance products (medical, dental, vision, prescription, etc.). We make the heavy lifting of translating bills and payments to layman-speak and tech-savvy consumer, who may be interacting with these for the ‘first’ time. benefitalign® offers an integrated experience to conduct online and mobile payments for premiums, contributions and cost reductions.
benefitalign® offers patent-pending plan management framework that can be configured for the specific state business rules. The various benefit categories can be mapped into the appropriate metal types. Individual Health Plans can manage ongoing product, collateral and specific set-up through web portals.
Renewals and Service
benefitalign® offers ongoing eServices for individual / member/ group for coverage changes to service requests. The platform offers seamless integration with your carrier enterprise portals/CRM. The patent-pending solution tracks the customer patterns and facilitates the renewals and open enrollment for ongoing retention and relationships.
Engagement and Analytics
benefitalign® offers deep member engagement understanding and insight. The platform can track anonymous consumer behavior on web and mobile channels to the individual member experiences from eligibility, enrolling, services, and fuse that with claims and service experience to help you deliver the rich, engaging, informed, personalized member experience. We have advanced analytic services to bring the insight into the residents health insurance buying and servicing.