Health Insurance

Make security and compliance efforts automatic with OnBase

Hyland Software is a leading provider of world class enterprise content management solutions for the health insurance industry.

Our solution, OnBase, combines integrated document management, workflow management, business process management, and records management into a single application. OnBase manages digital content including scanned documents, faxes, print streams, application files, electronic forms, web content, multi-media files, emails and industry standard files such as 835 & 837, CMS1500, and UB04.

OnBase also provides organizations with the ability to automate business processes, reduce the time and cost of performing important business functions, improve organizational efficiency and address the need for regulatory compliance through the management, control and sharing of digital content with employees, business partners, customers and other constituencies.

OnBase provides a competitive advantage through streamlined processes, reduced costs, increased internal controls, audit assistance, and improved customer service. OnBase Insurance Solutions enable customers of varying sizes and characteristics to improve productivity levels by addressing specific document needs within each business area.

Our health insurance industry expertise is paramount in driving added value for our customers. We have experience with Fiscal Intermediaries for Medicare/Medicaid, commercial insurers, third-party administrators as well as Managed Service Organizations. We understand Health Benefit Plans & Health Administrative systems and are experienced in meeting industry-specific challenges, including security and compliance.

OnBase Insurance Solutions at similar organizations have helped to drive an increased capacity of more than 400 percent and in many cases have provided significant reduction in operational costs. One health insurance organization was able to reduce Open Enrollment processing from what previously took six days down to less than 24 hours using the OnBase Insurance Solution. Our solutions have given companies the reputation of “faster payer of claims”. We have many examples of these types of real results, many of which were solutions that took less than six weeks to deploy.

OnBase is uniquely developed as a single, robust software platform that is built from the ground up as a point-and-click configurable solution. This approach puts the ease of use and design in the hands of insurance companies, helping to minimize outside consulting and implementation costs. By leveraging a single platform approach, standard methodology and sound architecture, insurers are able to quickly adopt and easily expand the tools to meet your business needs with a service-to-software ratio that is a fraction of most other enterprise solutions.

Appeals & Grievances
By automating much of the manual processes, the OnBase Insurance Solution expedites the Appeals & Grievances process for health insurers

Claims Processing
By integrating with core claims applications, OnBase can verify coverage and policy information before distributing a claim to an assigned adjudicator

With the OnBase Insurance Solution, health insurers use fewer resources to manage the provider credentialing process

Mobile Medicare Enrollment
OnBase Mobile Medicare Enrollment enables a streamlined enrollment process and mitigates common risks, lost documents, missing information and compliance concerns

New Business Processing
Health insurers using OnBase to manage their open enrollment process reduce time to issue new policies by automating the capture of applications

Open Enrollment Solution
The OnBase Open Enrollment Solution allows health insurers to capture information onsite to instantly enter applications into an underwriting workflow

Provider Relations
With the OnBase Insurance Solution, Health insurers deliver exceptional service to providers during sales campaigns

Enterprise Content Management