Once contracts have been developed, the plan administration module enables providers to build their plan offerings and market directly to employers and consultants. Providers build primary care, specialty care or bundled payment services they have either negotiated with an employer or would like to directly market to consultants, employers and individuals in their geography.
Once contracted, members come onto the platform and choose providers, services and pricing. The powerful financial backend of the system handles the collection and distribution of payment between employer and provider. It has the ability to take lump sum payments and disburse either to a central entity or amongst a diverse provider population based on client’s requirements. Full reconciliation and reporting delivered.
Set up and manage multiple plans that include membership levels, fees, wellness programs, diagnostic services, urgent care availability, and more.
Manage your provider network, including adding new clinics and physicians, reviewing the patient census, charting gross revenue per clinic, and more.
Offer easy online access for patients to make payments, update their billing and profile, search for physicians, review their benefits, and more.