Easily configure and manage your Medicare Advantage plans to meet complex and detailed requirements laid out by CMS.
- Full COB Tracking
- CMS Integration and Reporting
- Fee Schedule Maintenance
- DRG, Per-Diem, Custom Pricing
Administer any line of business, including: Medical, Dental, Vision, Flex, HRA/HSA, Life & Disability, and more, on a single platform.
- Self-Funded Plans
- Comprehensive Customer Service
- Integrate Reinsurance and Billing
- Self-Service Portal
Manage Medicare and/or Medicaid membership while leveraging VBA IT and Business Services to streamline CMS integration
- Medicare/Medicaid Plans
- Encounter Reporting
- CMS Filing Requirements
- Audits & Compliance
Oversee all aspects of your plan, from online enrollment to claims payment in a single, easy-to-use environment.
- Fully Insured
- Highly Configurable Premium Billing
- Complete Reinsurance Capabilities
- Robust Reporting & Analytics
Provider Based Plans
Maintain integrated, network-based plans with numerous configuration options that improve quality and responsiveness.
- Self-Service Provider Portal
- Provider Credentialing
- Capitation Services
- Real-Time Claims Payment
Administer your business, your way, without application restrictions that prevent you from chasing new markets and applying new strategies.
- Pet Insurance Plans
- Legal Protection Plans
- Family Care Plans
- Custom Fields and Reporting