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BenefitRelay Bazzini Consulting, LLC

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Presentation on theme: "BenefitRelay Bazzini Consulting, LLC"— Presentation transcript:

1 benefitRelay Bazzini Consulting, LLC http://www.BazziniConsulting.com

2 Copyright (c) Bazzini Consulting, 2006 - 2008 2 benefitRelay Features  Electronic Data Exchange of enrollment & eligibility data with Insurance Carriers  Reconciliation of Bills, Claims, and Census Data  Creation of monthly self bills  Data Warehouse for Reporting and Analysis

3 Copyright (c) Bazzini Consulting, 2006 - 2008 3 Electronic Data Exchange  Deliver enrollment & eligibility data electronically to insurance carriers HIPAA X12 834 HIPAA X12 834 Proprietary formats Proprietary formats  benefitRelay can connect directly to and extract enrollment data from any existing HRIS in real-time Electronically connect any enrollment source to any carrier Electronically connect any enrollment source to any carrier  benefitRelay can also load data from hosted systems or third party administrators All formats supported – if it’s in an electronic format, benefitRelay can load it! All formats supported – if it’s in an electronic format, benefitRelay can load it!

4 Copyright (c) Bazzini Consulting, 2006 - 2008 4 Electronic Data Exchange One-click file generation for your carrier Quick link to carrier web site for file delivery Enrollment summary for current or any previous enrollment period

5 Copyright (c) Bazzini Consulting, 2006 - 2008 5 Connect directly to your HRIS or import data from your third party administrator benefitRelay extracts all necessary enrollment & eligibility data from your HRIS as of the selected date and stores it in the benefitRelay data warehouse, locking down a copy of exactly what was in effect as of the selected date Alternatively, you can import enrollment & eligibility information from XML, Access, Excel or ASCII files

6 Copyright (c) Bazzini Consulting, 2006 - 2008 6 Claims & Billing Connect any enrollment source to any carrier Enrollment & Eligibility benefitRelay Data Warehouse Ceridian HR/Payroll eSource ADP UltiPro Abra PeopleSoft Oracle SAP SHPS Employease Hewitt Blue Cross Aetna VSP Cigna Input Real time connection XML data Excel file ASCII data SQL Query Output HIPAA X12 834 Vendor Proprietary XML Excel Billing & Claims files Vendor Proprietary Formats Examples of benefit enrollment sources Examples of target Insurance Carrier

7 Copyright (c) Bazzini Consulting, 2006 - 2008 7 Carrier Reconciliation  benefitRelay allows you to identify adds, changes, terminations and missing data before sending to the carrier  benefitRelay can load bill files, claim files, and census roster files and instantly compare them to the enrollment data in your HRIS If your carrier can give you an electronic file, benefitRelay can load it! All formats are supported If your carrier can give you an electronic file, benefitRelay can load it! All formats are supported

8 Copyright (c) Bazzini Consulting, 2006 - 2008 8 Carrier Reconciliation Employee detail is readily available, along with “drill down” of additional information including history and covered dependents Quickly identify new enrollments (“Adds”), terminations (“Terms”), and any employees that were expected but missing compared to the previous period. Reconcile your enrollment data before you send it to the insurance carrier! Hyperlink Click for more info

9 Copyright (c) Bazzini Consulting, 2006 - 2008 9 Carrier Reconciliation benefitRelay can create a side-by-side comparison in Excel of your enrollment data and the carrier list bill! Two-way matching provides quick identification of Enrollment data your carrier has that you don’t (premium overpayment) Enrollment data that you have that your carrier doesn’t (missing covered employees) Match/No Match Red for employees that don’t match up, Green for those that do Side by Side Comparison Line up your enrollment data side by side with data from your insurance carrier Insurance Carrier Data Your Enrollment Data

10 Copyright (c) Bazzini Consulting, 2006 - 2008 10 Data Warehouse Reporting & Analysis benefitRelay keeps a copy of all enrollment data that is never changed or deleted. Full historical data is available for reporting and analysis. One-click access to enrollment data delivered in Excel format. List Bill can be customized for each carrier and contain any information you require

11 Copyright (c) Bazzini Consulting, 2006 - 2008 11 Additional Capabilities  Once implemented, many customers have found that benefitRelay is an ideal platform for many other HR/Benefit/Payroll purposes: Total Compensation Statements: a custom solution was delivered that uses an extended version of the benefitRelay data warehouse to generate and store all data required for a Total Compensation Statement, and also output a fully customized personalized statement that can be easily updated using MS Office tools Total Compensation Statements: a custom solution was delivered that uses an extended version of the benefitRelay data warehouse to generate and store all data required for a Total Compensation Statement, and also output a fully customized personalized statement that can be easily updated using MS Office tools Payroll Analysis and Reporting: another customer asked if benefitRelay could help them get more useful reports out of their payroll system, resulting in an advanced payroll analysis module Payroll Analysis and Reporting: another customer asked if benefitRelay could help them get more useful reports out of their payroll system, resulting in an advanced payroll analysis module Other HR system connectivity: many customers have found that benefitRelay can just as easily send and receive data from other “best of breed” HR products, including Payroll, Recruiting, Performance Evaluation, Pension and EAP, among others Other HR system connectivity: many customers have found that benefitRelay can just as easily send and receive data from other “best of breed” HR products, including Payroll, Recruiting, Performance Evaluation, Pension and EAP, among others

12 Copyright (c) Bazzini Consulting, 2006 - 2008 12 benefitRelay Results  Proven results Documented savings of up to 3% - 5% of annual premiums Documented savings of up to 3% - 5% of annual premiums Dramatic decrease in time spent managing insurance carriers Dramatic decrease in time spent managing insurance carriers Substantial increase in accuracy and timeliness of enrollment & eligibility information to all carriers from a single source of data Substantial increase in accuracy and timeliness of enrollment & eligibility information to all carriers from a single source of data Single source of data ensures consistency across all carriers Single source of data ensures consistency across all carriers Platform for plan analysis and ad-hoc reporting Platform for plan analysis and ad-hoc reporting Complete audit history to document and quickly resolve enrollment issues Complete audit history to document and quickly resolve enrollment issues Satisfied customer references available Satisfied customer references available

13 Copyright (c) Bazzini Consulting, 2006 - 2008 13 Case Study: Take Two Interactive (Creator of Grand Theft Auto) Environment  Previous administrator fired, T2 needed full implementation fast - before next billing cycle (4 weeks)  benefitRelay implemented for 5 carriers, including electronic bill reconciliation and consolidation  Connected with UltiPro (hosted by UltiPro) using standard Cognos reporting tools to output data in Excel format  Connected with 5 carriers in four weeks by working very closely with carriers and consultant through development and testing phases, minimal customer HR and IT involvement  Created monthly summary bills with complete accounting/GL integration without missing a premium bill due date  Automated reconciliation of monthly list bills immediately identified substantial premium overpayments and ineligible coverages  Data security and integrity imperative – benefitRelay has helped identify and resolve many UltiPro data and configuration issues

14 Copyright (c) Bazzini Consulting, 2006 - 2008 14 Case Study: Take Two Interactive (Creator of Grand Theft Auto) Results  Began project 4/30, all carriers in full live production by 7/1  Billing reconciliation for all carriers in place by 5/30  No interruption in enrollment processing or billing  Immediate improvement of data accuracy – many account/structure and setup issues with carriers identified and corrected  Immediate improvement in billing accuracy – premium credits identified and verified within first billing cycle  Immediate improvement in UltiPro configuration and data accuracy – many specific employee data issues cleaned up, several significant UltiPro setup issues found/fixed  All carriers are now receive data from the same source – major improvement in data integrity and consistency. Issues now fixed once in a single place, ensuring all carriers have accurate and timely information  Consolidated bill is far more flexible than previous solution – accounting can easily group and view billing information in unlimited ways using standard Excel pivot table

15 Copyright (c) Bazzini Consulting, 2006 - 2008 15 Case Study: Take Two Interactive (Creator of Grand Theft Auto) “Show me the money”  Within 4 weeks of implementation, benefitRelay was directly responsible for identifying and documenting enrollment and billing issues that resulted in the following premium credits: Medical Provider: $140,000 credit issued Medical Provider: $140,000 credit issued Dental Provider: $13,000 credit issued Dental Provider: $13,000 credit issued Life/AD&D/LTD provider: $20,000 credit issued Life/AD&D/LTD provider: $20,000 credit issued  What makes the above numbers even more amazing is that the client had a professional employee benefit services firm managing their enrollment and billing data directly with each carrier!

16 Copyright (c) Bazzini Consulting, 2006 - 2008 16 Partial Vendor List A few of the vendors benefitRelay has connected with:

17 Copyright (c) Bazzini Consulting, 2006 - 2008 17 Partial Customer List A few of the clients that have realized the value of benefitRelay:

18 Copyright (c) Bazzini Consulting, 2006 - 2008 18 benefitRelay – More info For more information and pricing: Robert Bazzini Bazzini Consulting, LLC (610) 696-3311 rbazzini@BazziniConsulting.com http://www.bazziniconsulting.com


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