Health Plans Configured
Using product components from the Product Machine, the Plan Configurator lets you automate appropriate restrictions, actuarial calculations, compliance specifications, and business rules. You minimize labor-intensive processes; eliminate redundancy; improve efficiency; reduce operational expenses; and accelerate creation, management, and implementation of plans – from standard to one-off customs.
With the Plan Configurator, you’ll simplify and streamline:
- Plan creation, with sophisticated version and variation management tools that present only the options valid a given effective-date, market segment, funding arrangement, state, and/or other criteria
- Option and value configuration at the plan level, including co-insurance percentages, co-payments, deductible limits, cross-accumulation rules, multiple networks (preferred, non-preferred, or custom, as well as optional benefits and riders
- Benefit configuration, including deductibles, co-insurance, co-pays, penalties, limitations, tiered calculations, carve-outs, specialty programs, extended terms of coverage, exclusions, inclusions, and claim-specific service codes.
For more information, or to schedule a demo, please contact us now.