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If you are looking for a comprehensive individual administration or claims system, Apex Data Systems has what you need. Our solutions give you total support for term life, AD&D, dependent life, income replacement, long and short-term disability, various types of health including catastrophic illness, travel/accident, student plans, basic, major medical including dual and triple-option, dental, vision, prescription drug, and long term care. Processing is on-line, real-time, giving authorized users the ability to obtain accurate, up-to-date information about any policyholder or dependent at any time.
Administration System Features
Apex Data Systems offers fully-featured individual administration systems to perform all of your administration needs including rating, underwriting support, enrollment, billing, cash receipting, premium posting, delinquency tracking, agent commission calculations, renewals, correspondence, and extensive standard as well as ad-hoc reporting. Features include:
Parameter-driven set-up routines that enable you to quickly and easily create new plans. A user-defined "Association," or book of business field that gives you the flexibility to enroll individuals in different pools of business for more efficient management profitability analysis and reporting. Flexible rating that can be established from user-defined tables or manually updated for base plans and rider add-ons. Automated billing routines that make hard-copy direct, EFT/PAC, bank draft, or lockbox processing simple to perform. Billing can be generated in either real-time, or in a deferred batch-type process. Full agent and broker information that can be captured at the individual coverage level. Provision for commission calculations as flat or graded, including both years-in-force and/or premium volume, with up to 9 override levels and multiple splits at each level. Allowance for user-defined plan designs with multiple user-defined riders.
Claims System Features
The claims system provides many features to increase your efficiency and is available for all of the plans offered under our Administration module including variations on life, health, disability, and long-term care product-types. Our claims system can be installed as part of a fully consolidated solution, incorporating your administrative needs, or on a stand-alone basis. Features of our individual claims adjudication and management system include:
The capture of submitted claims in a pended status, allowing you to track claims details, volumes, and your production statistics while investigation efforts are under way. A correspondence system that gives you the ability to generate user-defined letters and automatic follow-ups for up to 9 letters to the insured policyholder's home or billing address. Summer/winter addresses allow for easy tracking for retirees. Pending reports assist you in monitoring the status of any claim that has been pended. Provisions for year-end reporting, including critical data for premium taxes, IRS submittals, and other accumulation-related output. User defined status, cause, service, termination and other codes that help you classify claims activity in a meaningful way, and help you manage and report on your claims experience. Support for various pricing schedules that allow for electronic feeds, or entry of user-defined tables. A mail receipt process that captures claims details so information is immediately online and ready for inquiry or the adjudication process. Repetitive payment processing allowing you to fully automate on-going payments based on product type, up to a scheduled review date. Production of checks, EOB's and letter or form correspondence to the insured, policy owner, beneficiary, or other.
Other special features of our Individual Administration and Claims systems are further described in our detailed Product Literature. Read on or contact us today for a hands-on, interactive system demonstration.
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