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MetaVance®

Improve Competitiveness, Reduce Costs and Bring New Solutions To Market Faster With MetaVance

The healthcare world is undergoing drastic, fundamental changes. You're faced with growing competition from financial and retail firms expanding into the health plan market, heightened sensitivity to healthcare costs and customer demand for new products and improved services. To address these challenges and adapt quickly to new changes – cost-effectively – you need a robust, flexible solution that takes advantage of your previous information technology (IT) investments.

MetaVance Is a Fully Integrated Enterprise System For Healthcare Organizations To Administer Program Benefits

MetaVance is a HIPAA-ready system that supports consumer-directed health plans, medical management and claims processing. It helps you better administer health insurance products such as HMO, PPO, CDHP, indemnity and hybrid managed care programs.

Its integrated components support every aspect of your organization:

MetaVance – Benefit Administration Software Features

  • Membership
  • Premium billing
  • Benefit management
  • Provider management
  • Pricing management
  • Medical management
  • ATLANTÉS care management
  • Business structures
  • Reference and controls
  • Security
  • Customer service correspondence
  • Work manager
  • Claims adjudication
  • Claims payable
  • Coordination of benefits
  • Reporting

Works With Existing Applications and Infrastructure

MetaVance is a platform-independent, Web-enabled software system. Its open architecture and integration engine make it possible to leverage your organization's existing technology investments. This approach enables you to scale up quickly and support real-time claims adjudication.

Addresses Both The Administrative and Clinical Sides of Your Business

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.

You can:

  • Enjoy state-of-the-art support for CDHP, medical management and claims processing
  • Achieve 75 to 85 percent 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

For more information about what HP Enterprise Services can do for you, submit a business inquiry.

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