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Soundbytes: Information on Regulatory Updates and Important Industry Changes

Account Administration

Due to the multi-faceted aspect of a Consumer Driven Health Plan (CDHP), professional account administration is critical to its success. Among other things, account administration consists of the comprehensive and integrated management of:

  • The High Deductible Health Plan
    A High Deductible Health Plan (HDHP) is a health insurance product that offers a significantly lower premium in exchange for a higher deductible. This added deductible exposure is a critical element in advancing the notion of consumer engagement inherent in the CDHP model.
  • The three major plan components: HRA / FSA / HSA
    These health accounts give individuals a way to pay for qualified expenses with tax-favored funds. Each one of our DPI-Suite component products offers its own specific benefits for the comprehensive administration of these plans.
  • Debit and Credit Cards
    Our electronic payment cards provide a new level of empowerment to health care consumers, particularly as a way to gain immediate access to plan funds and avoid out-of-pocket expenses when the cards are tied to an employee’s health plan accounts.
  • Electronic Fund Transfers
    Employee direct deposits, fund distributions, employer contributions ... it’s all made easy through the straight-forward, single-click connectivity of our EFT service.
  • EOB Feeds
    Most people in the health care and benefits industries are familiar with an EOB, or Explanation of Benefits. To take CDHP administration to the next level, however, we have created a three-tier EOB functionality, including electronic feeds, online access, and drill-downs.
  • Rx Claims
    A comprehensive CDHP platform must also be capable of receiving Rx claims from a Pharmacy Benefit Manger – in real time – to enable a plan participant to fully realize their plan benefits.
  • Health Service Resources
    The DPI-Suite provides a single, online CDHP “Hub” where individuals have continuous access to carrier-independent medical advice from certified doctors and nurses 24/7, as well as hospital comparisons to help them make informed choices about where to seek care.
  • COBRA
    COBRA is a federal law that allows an employee who leaves a company to continue to be covered under the company’s health plan. Because the CDHP administrator designed the company’s plan in the first place, it makes sense that the same administrator should also provide the COBRA administration.

To be effective, a single administrator needs to have access and control over all the elements within a single integrated system.

Click here to read more about the benefits of having a single administrator who can offer seamless integration of ALL components on a single platform that facilitates mutually beneficial relationships between multiple stakeholders across various industries.