Portal Presentment

Enable online transactions with members, providers, producers, and groups via the Internet. These transactions provide for self-enrollment, eligibility and claims status queries, billing information and transactional and non-transactional communications.

Member/Provider Portals

Design password-protected Web portals for each of your audiences, and allow them to submit or obtain information, review claim statuses, search for a provider, or determine member and coverage status. We can work with you to provide self-service, capabilities that are secure and available 24/7/365 for a fraction of the cost of staffing a call center.

Provide useful Web portals for your groups so they can complete critical administrative functions in a timely manner including member enrollment and reconciliation, premium invoice adjustments and verification, and electronic payment processing.

Online Job Tracking And Reporting —
Via DST Output Customer Portal

Our Web-based job tracking and reporting tools allow you to view every step of our print and electronic production processes. You have visibility to pre-production files, the ability to track your jobs throughout the production process, and access to post-production statistics such as package mailing dates and times, transaction costs, postage incurred, turnaround time, and volume trends. Our clients have told us that this round-the-clock access to production information in many cases provides a greater degree of control than they had in their previous in-house production environment.

Customer Service Call Center Viewing Solutions

When members or providers call, your CSRs can view print and electronic communications (EOBs, checks, etc.) online to answer any questions quickly and sufficiently.

Member Eligibility And Claims Status

Electronically deliver HIPPA EDI Enrollment Status 270, 271 and Claims Status 275, 276, and 277 that allow providers and members to identify the status of claims sent to health plans. Allow online viewing by the provider, member, and CSR to reduce call center volume and increase customer satisfaction.