Benefits and Product Management
Simplify how you setup and administer health insurance policy benefits and products all while complying with regulations and unique business rules
Member and Group administration
Administer and underwrite health insurance products for members and groups–without adding overhead to current systems and processes.
Claims management and automatic adjudication
Increase your auto-adjudication rates to more than 90% and free up your team to focus on key customer service and case management issues.
Premium billing and receipting
Manage the complexity of health insurance premium billing. Invoice the customer, and the Group Health Plus system takes care of the complexity of disbursing payments across multiple underwriters.
Gain greater insight into up-to-the-minute key performance indicators. See how improvements in these KPIs enable you to manage your business more efficiently.
Employees want to easily manage their benefits plans. They need the flexibility to choose from a menu of employee benefits. The GHI+ Employee Portal allows employees to manage and maintain their own benefits plans through an easy-to-use, secure web portal.
Traditional Approaches are Inefficient and Inaccurate
Up to 16 system touch points across multiple systems
Data passed between systems subject to error and re-keying
Days to approve claims
Up to 90 days to pay claims
Claims & Admin staff costs up to 60% too high