CLIENT
America’s leading health insurance company
Objective
This client is nation’s well known health insurance company. This company provides both individual and group insurance to the companies. Client wanted to develop an e-billing application that would not only enable customer service agents to provide better service to the clients but also serve as a self-service system to the existing insurance policy holders.
Key Challenges
Client had a very specific requirement and wanted to develop the application in alignment with their current IT landscape of other applications as this new application would be integrated with other existing applications and would use the input from and deliver the output to the other components of a highly intricate claim adjudication and payment management systems which run in compliance with HIPAA and meets other government regulations.
Our Solution
Touchstone’s technical team delivered a high quality application with built in flash based training module, self-service help utility and some of the functions are:
- External customers can login into their account using group no., member ID or social security number and password
- First time password authentication through text message/ phone call to cell phone
- Company’s employees can login with their employee ID and password
- Search invoices based on different criteria
- View, download and print invoices in CSV, XLS, XLSX and PDF formats
- Consolidate invoice to make collective or partial payments
- Elect to stop receiving invoices in the mail and opt for email e-delivery to email
- Create reports on billing and payment history, amount paid, amount pending etc.
- Export reports and transfer selected data to other legacy applications
- View the summary of premiums for the invoice
- View benefit information for each member in the family
- Create bank account and link it to user’s account
- Set up auto payment
- Email payment confirmation
- Search payments based on amount range and date range
- Regenerate lost password
- Adding, managing and deleting users
- Manage user profile and change password utility
- Adding, managing deleting bank accounts, credit cards
- Password regeneration utility
- Generating explanation of benefits (EOB)