Explanation of Benefits Presentment

More for Your Members and Providers

With Systemware's electronic EOBs presentment solution, everyone wins. Providers and members alike enjoy the ease and convenience of receiving all statements as well as periodic documents electronically.

Use Systemware to deliver your EOBs online and your enterprise will lower processing costs, reduce or eliminate printed/mailed materials, and increase speed of communication. We'll serve up your EOB through integration with your member and physicians' portals while you enjoy the benefits of this cost-effective initiative that will help you "go green" and keep more green in your budget.

Our advanced EOB solution - built upon Systemware's core content repository - allows you to open an electronic channel to your subscribers and providers, delivering statements as well as periodic documents that are typically printed. By offering a single, efficient portal for all member communication, adoption of this service will grow and complement your online strategies. Systemware EOB Presentment helps you:

• Allow members to quickly and easily view or print current and historical EOB statements anytime, anywhere.
• Captures documents produced by your existing system, store, and present them online in a secure, well-formatted presentation.
• Integrate with any claims adjudication system on any platform as well as any of your other systems.
• Present quarterly or annual notices or marketing messages.
• Review EOB images, print PDF versions of the documents or download EDI files for use in payment posting activities.
• Capture and view all correspondence, supporting documentation, health statements, and claims allowing both your providers and customer service representatives to be on the "same page" during communications with one another.

• Eliminate the print and postage costs associated with monthly statements and other mailings.
• Reduce costs by electronically delivering notices, year-to-date benefits statements and other documents your institution sends to members or providers.

• Allow customer service associates access to member claims and remittances online so they can resolve problems more quickly.

• Notify members via email that a new statement is available so they can login to your Internet portal to view, download and print.
• Help providers with large EOBs bypass the need to convert to electronic format or manually post paper EOBs.