Health Benefits Exchange Administration
Single point (member centric & carrier agnostic) individual subscriber billing with subsidies? Sounds a lot like COBRA and Retiree Health Insurance Billing. Payment grace period sensitive (i.e. postmark date) payments from individuals by paper payment by mail, online credit/debit, or scheduled ACH? Ditto. Seamlessly handling ongoing, constantly shifting custodial cash management with partial payments, voids, refunds, remittances to health plans, subsidies, chaning coverages? Yes – all of this. HIPAA 834 enrollment/disenrollment files to health plans? Yes, that too.
The no wrong door shopping cart websites which must front each state Health Benefit Exchange under the PPACA are understandably getting a lot of attention as each state’s exchange must start there. But what happens after the subscribers elect? This is what we’ve been doing – better than anyone – since 1995. We know these “new” requirements like the back of our hands. Whether you’re a state running a complete end-to-end administrative exchange or a carrier being handed individual subsidized subscribers by your state, we have the system (HBEpoint) and integrated Payment or Billing Services to seamlessly handle the ongoing administration and billing of HBE participants. Subscribers elect plans once a year. We handle the other 364 days.
And…There are no large upfront fees for our SaaS technology or Integrated Services. In most cases where our Payment or Billing Services are provided in concert with HBEpoint, we simply earn a percentage of premium for each payment we process.
