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PRODUCTS AND SERVICES INDUSTRIES SUPPORT PARTNERS COMMUNITIES ABOUT

Health Insurance Solutions: Europe, Middle East, Africa, Japan, and Asia Pacific

PRODUCT DESCRIPTION

As a healthcare insurer/payer, you are regularly confronted with changes in laws and regulations. You need to be able to quickly integrate these changes into work processes and support systems.

If you are operating in a commercial healthcare system, price (or premium) is an important competitive instrument. A low premium is possible if you minimize the administrative costs and the costs of healthcare. Good service and compliance with agreements help you to retain your members. Reaching new target groups of consumers is a condition for further growth. If you are operating in a public healthcare system, the emphasis is more on implementing the relevant laws and regulations at the lowest possible cost.

Oracle provides you with applications for the effective automated support of your business processes. These applications enable you to implement changes in laws and regulations and provide consumers with tailor-made products while using uniform administrative processing. Join the many successful insurer/payers around the world that are using Oracle to achieve the following:

  • Reduce ICT, administration, and healthcare costs
  • Involve customers in processing by providing self-service functionality
  • Broaden the market across language areas, using the multilingual nature of the applications
  • Make the ICT support flexible by using service-oriented architecture (SOA)

HEALTH INSURANCE PRODUCTS

Oracle Health Insurance provides three applications:

  • Oracle Health Insurance BackOffice
    Supports the administrative processing of member data and claims and the product and healthcare procurement data required for this purpose-including the brands being sold and the available distribution channels.
  • Oracle Health Insurance Business Intelligence
    Supports the creation of reports legally required by inspection bodies and enables data from the policy and claims process to be analyzed for healthcare procurement, premium calculation, and further process optimization.
  • Oracle Health Insurance SelfService
    Enables customers and clients of insurance companies-members, healthcare providers, employees and intermediaries-to use the internet to query data, receive output, and implement changes. Consumers can also calculate their premiums, request quotes, and take out policies via the internet.

These applications work together in an integrated manner with standard solutions for customer relationship management, accounts payable and receivable, and general ledger.


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