Our .Filing module is an integral component of our commercial benefit plan management solutions, eBenefitSync™. .Filing simplifies and contributes towards generation of range/bracketed documents. It is primarily useful for Large Group filings (and for ACA in some states) for SOB/Handbooks/Contracts/EOCs. The ranges of cost shares are captured at the foundation template level and variation in language per some conditions are retrieved from the language repository of that document stored in the Master List. Thus, users benefit from reusing data set up and also a single source of truth that helps with plan creation as well as filing.

Leverage cutting-edge technology to generate range/bracketed documents accurately and accelerate speed to market

Implement Payer, TPA, and ASO range document automation solution to generate range documents along with member facing documents in a few clicks and simplify state filing.

Industry Challenge

  • Lack of bandwidth to maintain benefit data that is filed vs sold
  • Manual generation of documents
  • Documents are built from scratch

Impact

  • Erroneous documents
  • Compliance challenges
  • Audit issues

Our Solution

  • Automates range/bracketed document generation
  • Enables dynamic generation by converting variations written in the form of rules and ‘IF-statements’ into bracketed language.

Industry Challenge

  • Filing data is manually created
  • Manual review and approval cycle

Impact

  • Misalignment with the source data
  • Data accuracy and consistency challenges

Our Solution

  • Manage both member-facing and filing language as one repository
  • Ensures that changing one language automatically updates the other
  • Reduces compliance risks
  • Minimizes ependency on multiple systems
  • Eliminates ambiguity between what was sold v/s what was filed
  • Decreases risk of penalties

Industry Challenge

  • Thousands for products across multiple states
  • Managing business rules for benefits product data of multiple states

Impact

  • Confusing to manage business rules
  • Misapplication of rules

Our Solution

  • Enables users to do additional configuration and set up rules
  • Enables users to include comments or notes to regulators within the documents

Industry challenge

  • Manually updating language changes
  • Manually updating cost shares across documents

Impact

  • Time consuming process
  • Labor intensive

Our Solution

  • Reduces duplication of effort
  • Allows users to spend time and attention on innovative plan designs
  • Automatically drive generation of filing documents

Discover a one-stop shop for end-to-end commercial benefit plan management

Industry leading commercial benefit product configuration solution that creates a single source of truth for Large Group, Midsize, Small Group, and Individual benefit plans, automates documents, accelerates filing, and simplifies reporting.
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