Public Exchange Integration PlatformWith the imminent arrival of State Exchanges, insurers need a solution that will allow them to sell their insurance products on these exchanges, manage the exchange of claims, billing and payment data and comply with state guidelines. The WebInsure Exchange Manager is a cloud-based application that provides necessary integration between health payers and state/federal health insurance exchanges.
WebInsure Exchange Manager allows health payers to easily showcase products, process state residents’ applications, track payments & subsidies and update plan rates online at state exchanges. The solution is highly scalable, flexible and is regularly updated to ensure ACA/HIPAA & exchange compliance.
Health insurers have to deal with the complexity of integrating their internal systems with the state insurance exchanges. The solution helps insurers avoid an otherwise cumbersome state-by-state integration process, saving them time, money and effort. The system can accept and relay data from and to external sources, such as exchanges, brokers, etc. and synchronize with insurer's internal systems.
WebInsure Exchange Integration
- Receive enrollment, cancellations & renewal requests from & to exchange
- Track & verify enrollment data online
- Recieve & transmit payments data
& from exchange
- Collect & process premium
& subsidy payments
- Manage late payments
Benefit & Rate Manager
- Manage plan benefits, rates & certifications online
- Ensure compliance with CMS
Through WebInsure Exchange, insurers can:
- Establish connection between multiple disparate systems
- Share plan and payment related data between multiple exchanges and insurers' internal systems
- Java/J2EE & AJAX based application
- Enterprise Service Bus (ESB)/Service Oriented Architecture
- Cloud-hosted application
Implementation & Customization
- Change the look and feel of the application based on your needs
- Integrate with multiple 3rd party systems for analytics/reports/billing needs
Frequently Asked Questions
- How does your system conform to the changing federal rules and remains compliant with the PPACA?
- Do you utilize cloud-based environments for your solutions?
Still have questions? Ask our experts
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Data sheetHealth Exchange Integration
State of the art technology allows health plans to seamlessly integrate with state and federal health insurance exchanges
- Full ACA/HIPAA compliance
- Intuitive user-friendly interface
- Reduced implementation costs
- Shorter implementation cycle
- Product customization capability
- Seamless system integration
- Per Member Per Month (PMPM) cost model