• Carrier wide transactions/inquiries conducted in fully automated/semi manual mode
• Sales department management
• Online underwriting/online rate configuration/maintenance/experience rating/claims experience
• Complete online CDHP management
• Finance department functions including billing and A/R
• Commissions configuration/management
• Customer services including complaints/grievances
• Provider services including appeals management
• Extensive utilization analysis reporting - data warehouse/ad hoc reports
• Extensive provider quality of care performance monitoring
• Authorization management (emergent/pre authorizations/referrals)
• Extensive disease/case management
• Claims management
• Tracking leads against specific campaigns for ROI reporting
• Comprehensive reporting (customer reports)