Manage your back office efficiently and adjust your system effortlessly without any business impact.
HBX-Back Office Plug-in is a integrated configurable framework, which will give you a platform where you can build your own flawless environment to intake, validate and transform enrollment data into your format. And also generate outbound file specified by the partner.
Standard Documents –
- Group Setup File (XML)
- Benefit Enrollment and Maintenance(834)
- Payment Order or Remittance Advice (820)
- Payment Report (Carrier formatted)
- Acknowledgments ( TA1 and 999)
- Effectuation / Confirmation File (834)
- Audit File (834)
- Reconciliation File (CMS FFM formatted CSV)
- Error Report (FFM or State Exchange formatted)
Integration Process-Services
- Intake Exchange files on behalf of Carrier
- Extract, Validate and Acknowledge to Exchange on behalf of Carrier
- Notify Carrier about the file and transaction state
- Map, Translate, Transform and Generate Carrier’s formatted file and Send to Carrier
- Intake Carrier’s files on behalf of Exchange (optional)
- Intake Carrier’s Enrollment Confirmation and Coding Supplement File
- Send Effectuation or Confirmation file to Exchange
- Intake Exchange Audit and Reconciliation file
- Process Audit and Reconciliation file and Send report to Exchange for Correction
- Provide centralized process for validation
- Provide unified dashboard and error report
Out of the box Services
- Provide encryption and decryption process
- Track all files and transactions regardless of data source
- Fault tolerant end to end state report