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solutions

Ultera/P8 Group Insurance Claims Solutions 

The Service Level Agreements (SLA's) associated with group insurance coverage for employees and their dependents mandate timely processing for virtually every type of transaction. Ultera/P8 underwriting worksheets eliminate many of the complexities associated with considering large numbers of individual applications within a single group package, thereby increasing the consistency of underwriting decisions.

The IPD Solution
Once a group is approved, an Ultera/P8 Membership Solution enables the processing of group enrollments either individually, or as a package of related documents, providing the flexibility required to meet SLA's connected with membership installation tasks.

The Ultera/P8 Claims Solution ensures timely processing of exception claims that often result from the uniqueness of group contracts. Eliminating the need for the distribution of exception reports to allocate work, Ultera/P8 saves precious cycle time by distributing pended claims as quickly as your host system can identify them. Ultera/P8's ability to match additional external information you request with the original claim, as soon as the new information arrives, also ensures that processors do not waste time conducting unnecessary inventory management on claims that are not ready to be adjudicated.

Because all documentation and work in progress is handled electronically, the IPD Customer Service Solution allows status inquiries to be answered immediately - and escalated as necessary - when group members and their providers call. Whether for large or small group processing, IPD Ultera/P8 provides a comprehensive content and process management solution for efficiently managing the complete lifecycle of group business transactions.