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VisualHCS for Third Party Administrators
Using the latest Microsoft database and development technologies, Byrne Software's VisualHCS line of products are fully integrated, scalable, functional, and easy to use. Few benefit administration systems can match VisualHCS’s flexibility and extensive functionality, thus making our software an affordable, long-term software solution.
Health & Welfare Plan Administration
- Claims Processing
VisualHCS Claims heath benefits administration system is a complete solution for a Third Party Administrator (TPA) paying medical, dental, vision and Flexible Spending Account claims for multiple customers. HIPAA compliant, this software combines the power of electronic claim submission, while reducing costs and simplifying the processing and administration of medical and health claims. VisualHCS provides extensive functionality for prior authorizations, Coordination of Benefits processing, member maintenance, letter writing, check processing and reporting features.
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- Collection and Eligibility
VisualHCS Collection and Eligibility benefits administration system is a complete solution for Third Party Administrators managing eligibility processing for multiple funds. The system focuses on both the accounting and business processes involved with maintaining eligibility. The system has been designed to facilitate user-developed capabilities, including the calendaring system, group letters, report structure, chart of accounts, EDI transactions and contract setup.
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- EDI Express
EDI Express provides users with the ability to send and receive HIPAA-compliant transactions between trusted trading partners, including Providers, PPOs, or Clearinghouses. Our software will support required standard transactions and proprietary formats used by some third-party repricing organizations. VisualHCS provides more flexibility using PPO networks, which can lead to significant increases in cost savings.
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- Premium Billing
VisualHCS Premium Billing can by used by Third Party Administrators (TPA) to manage individual and group billing processes. The system minimizes workload by automating the monthly group billing process for benefit administrators. VisualHCS offers extensive user-defined setup of rates, fees and factors. Additionally, payment processing is streamlined and accounts receivable data is easily retrieved – making VisualHCS Premium Billing a powerful billing administration tool for effective benefits administration.
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Retirement Plan Administration
- Pension Administration
VisualHCS Pension fully supports the administration of multiple defined benefit and defined contribution pension plans for Third Party Administrators (TPAs). Combined with Byrne Software’s in-depth understanding of pension requirements, extensive functionality and our dedicated customer support services, VisualHCS is a powerful system providing greater levels of service to both fund offices and retirees.
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Additional VisualHCS Products
- Web Portal for Insureds and Providers (WebQ)
The WebQ portal provides real-time data for medical claims access and eligibility status via the Internet. Insured members, providers and carriers greatly benefit from the ability to access information without the need for contacting the plan administrator’s office. This value-added service reduces the amount of calls received by TPAs and other group administrators - in turn, allowing your staff to focus on serving members more efficiently.
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- Employer Contribution Reporting (Remit Express)
Remit Express streamlines the benefits remittance process so you can serve members more effectively. This Web-based service from Byrne Software simplifies the reporting and payment of employer contributions - featuring Web capabilities to input remittances for multiple employees, calculate an employer’s total contributions, electronic transfer of funds, and contribution disbursement.
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- Sub-Fund Management
- Vacation Check Processing
- Short Hours Processing
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For More Information...
For more information about VisualHCS, or any of the individual VisualHCS products, please take a moment to complete our online RFI.
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