Oracle Revenue Management and Billing for Healthcare Payers

Oracle Revenue Management and Billing for Healthcare Payers

Improve customer satisfaction with premium billing.

 

Simplify Complex Pricing Situations

Simplify Complex Pricing Situations

  • Comprehensive and flexible capabilities for constructing various pricing models
  • Automates pricing for multiple lines of business at lower cost of ownership
  • Out-of-box capabilities for ASO and Stop Loss
  • Adjusts the price on specific products and tailors offers based on the potential customer relationship

Increase Productivity with Accurate Billing and Accounting

Increase Productivity with Accurate Billing and Accounting

  • Supports multi-currency, real time/batch/event based accurate invoicing
  • Segments bills and increases productivity with high level of automation and error-free outcomes
  • Supports complex transactions with centralized control for systematic refunds and adjustments
  • Provides rules-driven billing approach to enable true business agility and revenue recognition
  • Consolidates billing for variety of health plans and enables seamless and simplified experience across multiples lines of business/groups or individuals

Streamline and Centralize Processes

Streamline and Centralize Processes

  • Supports centralized processing and monitoring for consolidated multiple enrollment channels and a 360-degree customer view
  • Improves efficiency with unified processing and monitoring
  • Improves productivity and customer service with visibility of the entire customer relationship

Achieve Unified and Responsive Payments

Achieve Unified and Responsive Payments

  • Reduces operational cost and improves straight-through processing
  • Supports real-time payment settlement and seamless processing
  • Improves customer experience and helps achieve faster reconciliation
  • Provides capabilities for managing delinquency, discrepancy, and notifications, reducing risks
  • Supports standard messaging and a variety of payment methods

Develop Insight-Driven Approach

Develop Insight-Driven Approach

  • Enables informed decision making with high fidelity insights
  • Provides out-of-the-box analyses, including metrics, charts, and reports
  • Allows for consistent, real -time dynamic billing and pricing decisions

Gain Superior Customer Experience

Gain Superior Customer Experience

  • Helps create multidimensional customer group hierarchies and applies pricing rules and billing preferences at any level of the hierarchy
  • Provides visibility into billing data and enhances predictive decisioning

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