Federal Employee Health Benefit Plan

- Fully integrated with Office of Personnel Management (OPM) for Enrollment, Benefits, and Reporting Requirements

- Includes Debarment & Suspension of Providers According to FEHBP Guidelines

- Complies with Veteran Administration Guidelines for use of Medicare Remittance Advice (MRA)

- Full Support for Department of Defense Claim Processing

- Satisfies Office of Inspector General (OIG) Audits

- Captures Foreign Addresses for Members, Retirees, and Subscriber Annuitants

- and more

HEALTHsuite is an enterprise wide solution that automates all aspects of benefit administration, provider contracting and reimbursement, medical management, claims administration and more.  Fully integrated modules provide advanced functionality for eligibility / enrollment, benefit administration, provider contracting / reimbursement, medical management, utilization management, claims adjudication, premium billing, care management, capitation, subrogation, customer service, reporting and more. 

eHealthsuite is a state of the art, real-time Internet self-service application.  Its advanced flexibility allows eHealthsuite to adapt to your organizations specific needs and is fully integrated with our enterprise solution HEALTHsuite - both HEALTHsuite and eHealthsuite share a single data repository.  By allowing members, providers, employers and brokers greater access to information through a secure web portal, eHealthsuite greatly improves user satisfaction and reduces demands on customer support personnel.