Transform health insurance pricing and billing operations across all lines of business with a single scalable solution. Improve agility to meet ever-changing market requirements and drive increased revenue assurance.
IDC examines the need for agility in healthcare revenue management.
Maximize product innovation and meet rigorous member expectations.
Meet ever-changing regulatory requirements, complex subsidy adjustments, and expanding member expectations.
Manage group health expenses and cash flow smartly and provide organizations with cost-effective models.
Drive revenue assurance with complete end-to-end transparency and flexible billing for pharmacy rebates and other value-added services.
Automate pricing for all lines of business—fully insured group or individual, self-funded, government plans, and more—with out-of-the-box capabilities for calculating premiums and fees based on eligibility definitions and qualifying events.
Enable business agility with an automated, rules-driven approach that supports accurate real-time and batch billing with flexible bill cycles.
Improve revenue recognition through flexible accounting processes and subledger mappings. Enable real-time payment processing and automated reconciliations.
Achieve a complete view of each member by consolidating billing across multiple lines of business. Ensure an enhanced contact centre experience by leveraging a dedicated Billing 360 portal that offers easy access to all financial transactions.
The ready-to-use solution is based on prebuilt workflows and processes, driven by industry best practices, and augmented by the ability to add business-specific configurations.
Seamlessly integrate with ecosystem applications by leveraging the extensive API library. Scale rapidly on the cloud to meet the needs of your growing business.
Boost operational efficiency across all lines of business with a single, centralized, and fully automated billing solution.
Leverage a flexible and configurable billing solution that can bill a wide range of charges and supports innovative fee types and payment reconciliation.
Gain a holistic view of the customer, support flexible payment modes, and expand self-service capabilities.
Easily support new forms of coverage and revenue models. Handle groups and memberships of all sizes, even as billing volumes expand.
We can help improve operational efficiency and optimize member service.
Healthcare payers are moving away from monolithic software systems toward componentized systems, but a debate has emerged: When you separate enrollment from billing, which capabilities should each consider as core competencies?
Explore trends shaping the health insurance industry and how digital technologies can drive efficiencies.
Discover the tools and techniques payers need to manage diverse processes for payments, detail billing, and delinquency management.
Make better pricing decisions and implement them throughout the revenue management lifecycle
Customize and automate merchant invoicing and billing operations
Capture revenue opportunities and conquer billing complexity with a free trial of Oracle Revenue Management and Billing
Discover live and on-demand webcasts that help you explore financial services topics in depth.
Keep up with the latest trends across the financial services landscape.
Talk to a team member about Oracle’s solutions for revenue management and billing.