If your business model requires that you manage member enrollment, VISOVA has a fully integrated enrollment system to support claims, premium billing, capitation and all other member related activities.
MEMBERSHIP DATA
Demographic Data and Mailing Address for each participant (Insured + Dependents)
Coverage tracking by:
- Employer, Network, Product, Payer, Plan, Department, COBRA, etc. Supporting flexible Client/Employer linkage based on your specified control breaks.
Track member level details related to:
- Salary and Benefit Volume
- Member Specific Benefit Limits
- Other Coverage Data (COB)
- PCP Selections
- Member Alternate Identifiers
- Underwriting Data
- Member Clinical Diary
- Guardianship Directives
- Student Status Tracking
- HRA Accounting
- FLEX Contributions
- Under Age dependent communication rules
- More.
MEMBERSHIP DATA EXCHANGE
- Data scrubbing
- Duplicate Scrubbing
- Inbound and outbound data via 834, CSV, XML, TEXT