Online Connectivity Solution
To support business processes, HealthTrio connect™ (Datasheet, 450KB pdf) helps facilitate online information and transaction exchanges between a health plan and its members and its trading partners, including providers, employers and brokers. Administrative functions include enrollment, management of eligibility and benefits information, claims processing, reporting, payment, treatment authorizations, premium billing and reconciliation. With HealthTrio’s intuitive web interface, users can access and exchange data wherever and whenever needed to ensure optimal reduction in the cost of doing business.
Are you looking to:...
- Increase member retention?
- Expand your level of provider satisfaction?
- Attract and retain key employer accounts?
- Improve broker relationships and communications?
HealthTrio connect™ Solution:
Member Online Tools
Increase membership loyalty and satisfaction with HealthTrio connect™. This user-friendly portal allows members to take a proactive role in their care through expanded online sevices. Features that allow members to:
- Change PCP selection
- Request or print ID card
- Edit demographic or dependent information
- Access information regarding claims
- Review eligibility and benefits data
- Check balance in Health Reimbursement Account(s)
- Obtain updates on referral status
- Use online benefits questionnaire to guide package selection
- Perform online benefits enrollment
- Assign permission to specific providers or family members, allowing them to access records
Provider Online Tools
Reduce provider frustration and costs with online services that allow physicians to streamline workflow, improve patient safety and gain access to patient data for improved clinical decision-making. Some of the provider tool functionalities include:
- Secure, 24x7 patient data access
- Code lookups
- Provider directory
- Formularies for various health plans
- Health plan resources and medical links
- Eligibility and benefits inquiries
- Automated referral and authorization (HIPAA 278-compliant transactions)
- Claims status inquiry and claims submission
- Secure messaging between providers, health plans and members
- System administration and office management of health plan(s)
Employer Online Tools
Employers are demanding consumer-driven healthcare focus, technical superiority and demonstrated improvements in patient safety and care -- in other words, HealthTrio connect™. With our customizable member health risk assessments, health plans are able to guide members to participate fully in their care, leading to better patient outcomes, overall member population health and cost savings for both the plan and the member.
Additionally, our automated services minimize manual processes for paper-based enrollments, increasing productivity while reducing operational costs. Online employer services consist of:
- Online enrollment including students, coordination-of-benefits, COBRA and employer-tailored benefit programs
- Consumer-driven healthcare model for web-based, benefit plan education and selection
- Real-time reconciliation of invoices to employers’ rosters, reducing retroactivity
- Online premium reconciliation reveals where / how premium dollars are spent, improving billing accuracy
Broker Online Tools
Brokers are an important link in the chain for health plans. When customers are ready to select a plan, brokers need fast and easy access to health plan products and services, as well as quick turnarounds on quote requests.
With HealthTrio connect™, brokers can instantly view benefit packages, access provider directory information and track their sales online. HealthTrio connect™ also offers brokers:
- Online enrollment including students, coordination-of-benefits, COBRA and employer-tailored benefit program
- Access to health plan data
- Streamlined broker quote requests for speedy submittal and response
- Ability to track commissions directly to enrollment
