The Challenge
A national dental plan provider offers dental coverage to a wide variety of employees, groups and individuals. Their database is very large and contains multiple dental plan attributes and characteristics based on plan type, co-pay, membership type as well as ERISA and HIPAA rules and regulations. In-house document processing, printing and mailing is slow and labor intensive. To increase cash flow and save time, this dental plan provider turned to Statement Solutions.
The Solution
Not only did this client need to increase turnaround time, they also required a fast track solution due to business needs. Statement Solutions fast tracked the Asset Lifeline to develop a comprehensive system with AccessNow, Householding and DeliveryNow.
The key to a fast transition was the customized database-to-documents bridge developed by Statement Solutions. The plan provider’s patient management system sends data files to Statement Solutions. This very large database contains multiple dental plan attributes and characteristics based on plan type, co-pay, membership type as well as the rules and regulations for ERISA and HIPAA. Each night, Statement Solutions polls the dental plan's secure, password-protected FTP site for all of the previous day’s documents. After successful acceptance and reconciliation of all document types, Statement Solutions loads the address and subscriber information into its own relational database, applies the business rules and produces customized documents for service providers and patients. Within 24 hours, the documents are processed and entered into the mail stream.
“The set-up, programming, testing and implementation occurred on a fast track due to business needs and the introduction of a new claims processing software platform. It was imperative that Statement Solutions get this project up and running as soon as possible, and our team performed admirably,” says Matt Ingoglia, VP of Operations at Statement Solutions. “It is rewarding to know that an application this complex was successfully set up and running in such a short time.”