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Health Insurance
EnterCalc software is broadly applicable within nearly every health insurance department. The table below contains popular solution topics, EnterCalc benefits, and thumbnails of our topic-specific deskmats. Click on a deskmat icon to open it. Send an email requesting related collaterals to sales@entercalc.com.
Topics EnterCalc Benefits Deskmat Links
SBC Compliance Solutions EnterCalc's SBCSolved solution offers plans an extensible, enterprise-grade SBC engine (through web service and batch process interfaces) that generates compliant SBCs as paper, PDFs, HTML, and Word documents in English, Filipino, and Spanish.
Benefit Booklet/ Contract Solutions With EnterCalc, business resources can develop and test benefit booklet/contract calculations and dynamic content in Excel and Word. In production, Office templates are compiled to enterprise software that generates and distributes booklets and contracts.
Benefit Repository Solutions With EnterCalc, business resources model maps between contracts/groups and benefit/exception information, extract data from structured and unstructured data sources, and expose complex benefit web services and batch processes for use by downstream.
Clinical Analytics Solutions EnterCalc allows clinical professionals to develop and test complex analytics in Excel that execute as enterprise software in production. This reduces time-to-market and broadens the resources that can tackle clinical projects - eliminating bottlenecks.
Coherent Billing Solutions EnterCalc allows business resources to rapidly develop enterprise billing systems in Excel and Word. As a result, plans can streamline billing operations, simplify the client experience, and provide robust support to sales of new programs and product strategies.
Employer Group Reporting Solutions EnterCalc allows business resources to rapidly develop enterprise software that generates and distributes complex consultative reporting that persuades groups to take mutually beneficial action. This reduces ad hoc analysis while increasing competitiveness and sales.
Flexible Explanation of Benefits EnterCalc allows business resources to rapidly develop enterprise EOB generation/ distribution systems in Excel and Word.
Office flexibility allows plans to be more responsive to new feature opportunities, group customizations, and regulatory mandates.
Medicaid Adjudication Engines EnterCalc allows business resources to outsource Medicaid adjudication algorithms (e.g., those too complex for existing claim systems) to integrated, Excel-developed enterprise software.
MLR Rebate Allocation/ Distribution EnterCalc allows business resources to develop and test enterprise-grade MLR Rebate allocation/distribution systems in Excel and Word. As a result, sophisticated, flexible systems can be created quickly, easily, and with little risk.
Provider Contracting Solutions With EnterCalc, business resources can develop and test provider calculations and dynamic contract content in Excel and Word.
In production, Office templates are compiled to enterprise software that generates/distributes contracts and tracks term exceptions.
Rating Engine Solutions In production, EnterCalc rating engines are enterprise software - securable, integratable, centralized, scalable, stable. In development, EnterCalc-based rating engines are Excel and Word files - transparent and easily developed/maintained by business people.
 
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