Third Party Administrators (TPAs) and Payers today have to confront stiff competition, rising costs of matching customer demands, and diminishing returns-like never before. They have to optimize activities such as benefits management, Provider contracting, Member enrollments, and claims processing, with minimal expenses.
They need appropriate IT solutions that not only reduce manual data entry costs and processing times, but also increase the accuracy of claims' data, to avoid overpayments.
PREMIA Health is a highly scalable solution for managing benefit administration business. It complies with HIPAA rules pertaining to security, privacy and transaction code sets. PREMIA Health covers all your business lines such as medical, dental, vision, and pharmacy benefits. It employs a true "n tier" architecture (browser-based system) by using industry standard Oracle 9i as database, to provide you all the flexibility and scalability to cope with your future business needs.
PREMIA Health allows users to interact with the system through Web, EDI interface and IVR system. It comes with the most compressive set of Web functionalities for Providers, Members, Employers and Brokers, powered by our time-tested framework- PREMIA Collaborator .