Oracle Insurance 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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