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AboveHealth Portal

AboveHealth is a suite of programs that not only addresses constituent connectivity but also enhances it with two-way interactivity between all the players in a payer organization: providers, members, employers, and brokers, in whatever combination is desired. A health plan's constituents can perform transactions, download information, and work interactively with healthcare information. AboveHealth decreases communication and service costs and has demonstrable ROIs by providing health plans and their healthcare constituents the ability to use their computers for many transactions that previously required phone calls, faxes, and time-intensive processes.

• Health Plan have the ability to connect online to providers, members, employers, brokers, and other healthcare constituents enabling them to have employer groups enroll employees into the plan; allow members to request and print ID cards; let providers submit clinical data with authorizations; give brokers the ability to generate group and individual rate quotes; and auto respond to provider authorization requests. The Health Plan module also contains powerful administrative tools for managing the entire portal suite.
  
  
• Member can securely and efficiently conduct open enrollment activities. With a few clicks members can choose from two or more health plan benefits and see the results displayed side-by-side. They can ask to see coverage plans that only require a specific copay amount. In a matter of minutes after completing the health plan enrollment process, members can print their own temporary ID cards. They can also communicate online securely with their provider regarding healthcare issues, questions, or follow-up care instructions.
  
  
• Provider can reduce provider office costs and create workflow synergy. Authorizations can save the average provider office between $3.00 and $5.00 per authorization request. The provider's staff has to only touch an authorization request one time, rather than submit the request by fax or phone and wait days for the health plan to contact the provider's office for the relevant clinical information.
  
  
• Employer can streamline existing healthcare benefit processes and reduce or eliminate the majority of manual paper transactions associated with healthcare benefits management. Employers can effectively interact with health plans in the management of employee health benefits. Employees can securely and efficiently conduct open enrollment activities. With a few clicks, employees can choose from two or more health plan benefits and see the results displayed side-by-side. They can ask to see coverage plans that only require a specific copay amount. Employers can manage most of their healthcare benefits activities online.
  
  
• Broker can direct access to tools needed so quotes turn into membership. The broker portal facilitates improved quality communication and interaction between brokers and health plans. Brokers are able to conduct continuous process improvement on their sales cycles and increase sales and revenue.