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administration
.net designer invoices claims administration claims audit productivity

  

 

 

 

 

The basic administration module allows you to add, delete, or modify the application data base, which includes the following elements:

System Tables

providers and underwriters
dental fee guides
disability duration guides
prescription drug formularies
error messages and help messages
valid EHC service codes

Benefit Plan Rules

plan maximums
deductibles
coinsurance
eligible service codes
plan limits by service code and major category

Company Master Records

basic demographics
eligible benefit plans linked to plan rules
contract waiting periods and rates
benefit class descriptions and factors
history log of plan and rate changes
contact management module and email function
association, company, branch, and class hierarchy

Employee Master Records

basic demographics
dependent names, birth dates and benefit status
benefit class, hire date, annual salary, and benefit amounts
contact management module and email function
health spending account values
bank account data for electronic payment of claims
history log of all changes to the master record
auto update of benefit amounts on change of class or salary