Health Insurance Exchange (HIX) Payment Administration Solution.

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Presentation transcript:

Health Insurance Exchange (HIX) Payment Administration Solution

Introduction – FIS Benefit Solutions Company Facts Division of FIS Global FIS has signed an agreement to sell the division to Lightyear Capital; expected to close at the end of 3Q FTEs Diverse base of over 530 customers across the payer, provider, financial, and TPA sectors FIS Benefit Solutions is one of the largest, most scalable platform provider of software, services, and card-based technologies for healthcare payments The Company has long been viewed as a pioneer in the healthcare payments sector with a suite of solutions that offer substantial value in the areas of: – Benefits Administration – Payment Processing – Multi-Functional Multi-Purse Cards – Payment Output Solutions ` Benefit Solutions

Industry Leadership and Scale Market Leadership #1 CDH technology provider #2 Outsourced post adjudication payment processor #2 Health ID card provider Operational Statistics $5B+ CDH transactions 525M+ healthcare transactions processed 8M issued healthcare payment cards 1.3M healthcare benefits administration accounts 500K+ HSA accounts on the banking platform 100M Health ID cards carried in wallets Business Model Attributes Extremely reliable and efficient platform Highly scalable Unparalleled accuracy and speed Secure administration and payment technology

Product and Services Overview Benefit Solutions FIS offers products and services in the following broad categories: a.Health benefits administration i.Tax-advantaged health benefits b.Payment processing solutions c.Payment output solutions d.Health ID and multi-purse cards These solutions are utilized by industry participants in the following end markets: − TPAs − Commercial health insurers − Financial institutions − Healthcare providers − Consumers − Employers A comprehensive suite of benefits administration software that is tightly coupled with industry leading card and payments technology

Our Focus - Payment Administration 5 Consumer Engagement / Decision Support CRM / System of Record Call Center Benefits Aggregation Integration Payment Administration BenSoft Enrollment file Premium invoice DMS BillPointe Invoice presentment -print & online In house print facility Premium invoicing file Remit Manager Online payment remittance file Physical payment collection, deposit & processing Reconcile participant / employer receivable Reconcile payer liability Distribute funds to payers HIX Functional Attributes Online payment acceptance Consolidated remittance file

6 Thank you….. Please feel free to contact me if you would like to learn more Bill Barbato Strategy & Product Management – FIS Global