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For over fifteen years, our customers have depended on us for our Business Process Applications to automate their mission critical business processes. [Learn more]
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IPD Ultera Membership Application Process Automation

The administration of non-group insurance coverage for individuals and their families has unique challenges. Because individual consumers often accept the first coverage offered from among competing insurers, the cycle time with which applications are processed is a key consideration for growing this line of business.

The IPD Solution
An IPD Ultera/P8 Membership Solution speeds the processing of individual applications by eliminating the dependence of your staff on paper-based transactions and automating many of the steps in the work process. Ultera/P8 underwriting worksheets add efficiency and accuracy to the process by ensuring that all requirements are fulfilled and underwriters are provided with a complete, consolidated set of integrated information from which individual acceptance decisions can be made.

Once new members are enrolled, claims processing presents the next challenge. Due to the diversity of plan offerings typically made available to individual consumers, non-group claims often result in high exception rates. An IPD Ultera/P8 Claim Solution increases the efficiency with which claims entry and adjudication tasks are performed, automating the distribution of pended claims to the appropriate processor and, with the help of Ultera/P8's Automation Module, increasing the rate of automated adjudication. Ultera/P8 integrates with Administrative Systems to provide users with intuitive methods for quickly finalizing pended claims.

When individual members call in with questions, an IPD Ultera/P8 Customer Service Solution provides all the information necessary to answer inquiries. Front to back, IPD Ultera/P8 provides a complete Business Process Application for lifecycle processing of individual coverage transactions.
 
Case Studies
Automating its claims processing saved Blue Cross and Blue Shield of North Carolina approximately $250,000, with a potential to save up to $1 million
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