The AdminaHealth Billing Suite automates benefits reconciliation, bill consolidation, and payment management across the landscape of employee benefits. Even the most complex client requirements or plan architecture can be managed through the AdminaHealth Billing Suite.
Use some or all of the capabilities of the AdminaHealth Billing Suite to ensure fast, accurate, and headache-free billing management. Then utilize the data to make better business decisions.
With the AdminaHealth® Billing Suite you will:
Streamline one of the largest expenses of your business
Save time with automation – ditch the spreadsheets
Find simplicity – a central place to manage all your bills
Reduce errors through AI algorithms and automation
Have confidence in accurate billing
How It Works
Connect to the AdminaHealth® Billing Suite through an Enrollment Feed via your current system or file. The AdminaHealth Billing Suite includes a Rules-based engine. In addition to enforcing state and federal mandates, pricing, and contractual agreements, customers can define their own rules to meet their specific requirements.
After going through the Rules Engine, you can use your data for the following:
So many bills to keep track of for many different carriers and other benefits vendors! Our Billing Suite consolidates it down to one bill, one payment.
Receive one bill consolidating all your benefit costs
Break down your single bill for chargebacks by subsidiary, department, P&L, or even employee
Fully customize your billing to satisfy all unique billing situations
Offer employees as many benefits as you wish without worrying about additional billing management burdens
No more comparing mountains of paper against each other! Reconcile payments, evidence of insurability, payroll, nearly anything and everything else you can imagine!
Ensure you pay the right amount to each provider, for each benefit, reconciled against your enrollment
Avoid premium overpayments
Reconcile against additional feeds, like payroll, to ensure accurate deductions and confirm evidence of insurability for life plans
Support all three payment requirements: self-bill, list-bill with short pay, and list-bill without short pay
Automatically report self-bill enrollment information to the provider as needed: eliminate filling out, signing, and sending in forms or manually entering information on websites
Vendor Reporting provides you a single pane of glass view to information such as enrollments, payments, and exceptions to all vendors while communicating exceptions and self-bill reporting directly to the vendors and carriers, automatically and accurately.
Making payments just got easier. Approval processes and electronic execution of transactions mean you don’t have to chase anyone down for signatures, and you don’t have to mail out your payments.
Authorize one payment for the amounts due all providers
Break down payments by subsidiary, department, or P&L, effectively automating internal chargebacks
Remit payments to each vendor accurately and on time through the Federal Banking System
See all your benefits-related financial transactions in one place, in real time, on the consolidated benefits ledger
Data Science & Analytics
Your data, plus our AI algorithms and reporting, enable you and your client to make better business decisions.
Find knowledge in the data: what it all means and how it can help you make better decisions for your clients
Receive actionable insights into your benefit offerings and utilization from AdminaHealth Data Science & Analytics to improve decision making
Ensure that enrolled dependents are eligible for coverage and avoid having to make expensive and difficult amendments and changes later. Every new dependent is automatically checked for eligibility in the enrollment feed, ensuring you remain in compliance and are not paying for ineligible dependents.
Broker & Consultant Highlights:
AdminaHealth® provides you and your clients with the tools necessary to manage, audit, reconcile and transact payments for all fixed and variable expenses related to health and voluntary benefits. Our platform is comprehensive, yet flexible, allowing our bill consolidation and premium reconciliation to be easily applied to both fully-insured and self-funded groups.
Bill Consolidation and Premium Reconciliation
Your clients receive one fully-customized bill consolidating all benefit costs, apportioned for chargebacks by subsidiary, department, P&L, or employee. Sell additional benefits to your clients without worrying about additional billing management burdens.
Total Bill Reconciliation
Tell your clients with confidence that their bills are reconciled and they are paying the right amount to each of their vendors. Reconciliations are against enrollment as well as additional feeds, such as payroll, to ensure accurate deductions and confirm evidence of insurability for life plans. Our solution supports self-bill, list-bill with short pay, and list-bill without short pay.
Authorize one payment for the amounts due all providers, and break down by subsidiary, department, or P&L, effectively automating internal chargebacks. Remit payments to each vendor accurately and on time through the Federal Banking System. See all your benefits-related financial transactions in one place, in real time.
Self-Funded Plan Administration
Whether a client is currently self-funded or transitioning to self-funding, maximize resource efficiency with our plan administration. Meet operational accounting needs in relation to cost allocation, reporting, and cash-flow management. An automated approval process with notifications makes reviewing, approving, and transacting weekly and monthly expenses a breeze.
Reduce time and resources required to manage benefit costs while ensuring accuracy
Enhance efficiency with our “review and approve” process for actioning all financial transactions relating to health, voluntary benefit, and claims expenses
Streamline operational process from invoice received to transaction of payment
Reduce risk of overpayment for coverage in relation to group plan additions/adjustments
TPA & Carrier Highlights:
The AdminaHealth® platform enables TPAs and Claims Administrators to streamline all billing, reporting, and payment transactions. Our platform integrates with existing systems to simplify and centralize all benefit and financial administration, consolidate billing, and reconcile invoices with payment transactions through the federal banking system.
The invoicing and payment end of client management should be streamlined, automated, and low-touch. With AdminaHealth® tasks can be performed with as little or as much involvement as your organization requires. Save time and energy with a solution that complements your claims administration system and lets you focus on business priorities.
To client-driven billing adjustments
And payment transactions via wire and ACH
Auto-generate broker commission reports and retroactive adjustments
Captive and Association Administrators
The AdminaHealth® platform assists in the implementation, administration, and financial management of Captive insurance products. Streamline administrative, reporting and payment processes with our comprehensive Captive management solution. Associations, school districts, and union Administrators can now easily bill each association member, yet create one bill inclusive of all association members.
Efficiently administrate payment tasks for all insurance services
Payment and reporting with electronic payment transactions through wire, ACH, debit or credit
Approval for all transactions
Integrate billing with enrollment and benefit administration to improve operational efficiency and enable expansion of voluntary benefits.
Whether you are fully-insured and need a faster, easier way to perform monthly premium reconciliation, or are a self-insured organization with multiple subsidiaries and the need to charge back costs by product group or P&L, we can help.
Of leakage or overpayment for coverage in relation to group plan additions/adjustments
Minimize Time & Resources
Required to manage benefit costs while ensuring accuracy
With our “review and approve” process for actioning all financial transactions relating to health, voluntary benefit, and claims expenses
Client Use Case Examples
Self-funded clients: delivering value to self-funded plans for over five years now by easing the process of transitioning from fully insured to self-funded and automating the increased administrative burden
Fully insured clients: offering consolidated billing/automated reconciliation and payment management to large and small fully insured groups
Associations and Captives: removing complexity from the back-office administration and billing management of associations and captives
with an Association overall view and simultaneously a separate Association and Captive member view
Consolidated invoices and one-click payments
Club money from members – pay all vendors out with funds apportioned
Fully automate bill consolidation for your clients. Remove the headache of semi-automated bill consolidation