VisualHCS Heath and Welfare Solutions benefits administration system is a
complete solution for Taft-Hartley Funds paying medical, dental, vision and
Flexible Spending Account claims. HIPAA compliant, this software
combines the power of electronic claim submission, while reducing costs and
simplifying the processing and administration of medical and health claims.
VisualHCS provides extensive functionality for prior authorizations,
Coordination of Benefits processing, member maintenance, letter writing,
check processing and reporting features.
Superior Product Design
Advanced Microsoft development technology and SQL 2005 architecture
provides security and scalability. VisualHCS utilizes a table-driven
architecture that is flexible and manages an unlimited number of plans,
coverage types and networks. The company’s claims expertise and
commitment to delivering cutting-edge solutions ensures that the software
won’t become antiquated or costly to maintain for your organization.
Complete Benefits Administration
Full featured benefits administration system for paying medical and
health claims, including claims received by EDI files. Table-driven
and streamlined screens provide access to process all information needed to
rapidly and correctly process claims. Additional functionality for FSA
processing, plan maintenance and adjudication, eligibility tracking, case
management, and auto-assignment are all standard features of VisualHCS.
Administrative Features
Advanced note-keeping, document imaging retrieval, and correspondence
management through individual letter writing capabilities enable clients to
communicate with plan participants easier and cost-effectively.
Powerful Web Portal
Web Express provides powerful and easy-to-use online access, for
insured's and providers, to claim status and eligibility information to
reduce the number of calls to the benefit office. Additionally, Web
Express is an excellent benefit communication tool for instant access to
Plan Documents, PPO resources, and additional plan information.
Integrated Document Management
VisualHCS has the capability to interface with an
electronic content management and imaging solution that allows customers to
store and retrieve electronic images through the system, thereby allowing
them to largely eliminate the need for unnecessary paper documents.