HP Delivers Technology Solutions For Healthcare
HP knows the healthcare industry. Inside and out. In fact, we developed the leading benefits administration software. And use it as the core of our Healthcare Payer Administrative Services.
Efficiently Administer Benefits With Metavance
HP MetaVance is a fully integrated enterprise software system for healthcare organizations to administer benefit programs. It works across multiple companies, lines of business and products. MetaVance's design features a flexible, adaptable service-oriented architecture.
The open architecture and the MetaVance integration engine help you use your organization's existing technology investments. With HP's expertise, you'll get rapid implementations and a faster response to your issues.
- MetaVance 2.1 capabilities include:
- Web-enabled system – which helps payor organizations process healthcare.
- Control – administrative costs and improved customer satisfaction.
- HIPAA-ready transactions – to help healthcare organizations upgrade systems to comply with HIPAA regulations that will mandate standardization of electronic medical transactions in the U.S. by October 2002.
- Web-enabled e-commerce – through a relationship with eBusiness Integration solutions provider, SeeBeyond, MetaVance allows members to request ID cards, provider directories, select primary care physicians, makes claims status inquiries and inquires. Providers can submit claims, request authorizations and submit referral requests.
- HIPAA-readiness – MetaVance 2.1 supports the ASCI X12 enrollment and claims transactions, as well as inquiries, authorizations and referrals.
- Pharmacy claims – automatically updates benefit limits and integrates claims data from a pharmacy benefits manager.
- Care management – enables better quality of care through care management tools and the delivery of complete information on medical-related treatments and expenses across the continuum of care for each covered life.
MetaVance Helps Resolve Healthcare Payer Issues
With MetaVance, we've addressed your most critical healthcare payer issues. And come up answers that help your business achieve more. HP helps you:
- Enjoy state-of-the-art support for consumer driven healthplan (CDHP), medical management and claims processing
- Achieve 75 to 85% first-pass claims processing results
- Save $2 per claim on average
- Streamline healthcare information sharing for employers, members, consumers and providers
- Increase speed to market for new products and services with minimal changes to the system
- Incorporate additional integrated health management tools that provide member wellness and reduce medical expenses
- Support and expedite key payer processes while satisfying all HIPAA requirements
- Increase productivity with integrated workflow management tools and claims windows based on user input
- Accommodate growth, acquisition and partnership strategies more readily member-centric data model
MetaVance uses a member-centric data model that gives you a complete view of each individual across all products and services. It empowers your organization to make substantial gains in productivity, cost-efficiency and levels of care.
- Membership
- Premium billing
- Benefit management
- Provider management
- Pricing management
- Medical management
- ATLANTES care management
- Business structures
- Reference and controls
- Security
- Customer service correspondence
- Work manager
- Claims adjudication
- Claims payable
- Coordination of benefits
- Reporting
For more information about what HP Enterprise Services can do for you, submit a business inquiry.