BenefitRelay Bazzini Consulting, LLC

benefitRelaybenefitRelay

Bazzini Consulting, LLCBazzini Consulting, LLC

http://www.BazziniConsulting.comhttp://www.BazziniConsulting.com

Copyright (c) Bazzini Consulting, 2006 - 2008Copyright (c) Bazzini Consulting, 2006 - 2008 22

benefitRelaybenefitRelay Features Features

Electronic Data Exchange of enrollment & Electronic Data Exchange of enrollment & eligibility data with Insurance Carrierseligibility data with Insurance Carriers

Reconciliation of Bills, Claims, and Census DataReconciliation of Bills, Claims, and Census Data Creation of monthly self bills Creation of monthly self bills Data Warehouse for Reporting and AnalysisData Warehouse for Reporting and Analysis


Electronic Data ExchangeElectronic Data Exchange

Deliver enrollment & eligibility data electronically to Deliver enrollment & eligibility data electronically to insurance carriersinsurance carriers

HIPAA X12 834HIPAA X12 834 Proprietary formatsProprietary formats

benefitRelaybenefitRelay can connect directly to and extract can connect directly to and extract enrollment data from any existing HRIS in real-timeenrollment data from any existing HRIS in real-time

Electronically connect any enrollment source to any carrierElectronically connect any enrollment source to any carrier benefitRelaybenefitRelay can also load data from hosted systems can also load data from hosted systems

or third party administratorsor third party administrators All formats supported – if it’s in an electronic format, All formats supported – if it’s in an electronic format,

benefitRelaybenefitRelay can load it! can load it!


Electronic Data ExchangeElectronic Data Exchange

One-click file generation for your carrier

Quick link to carrier web site for file delivery

Enrollment summary for current or any previous enrollment period


Connect directly to your HRIS or import Connect directly to your HRIS or import data from your third party administratordata from your third party administrator

benefitRelay extracts all necessary enrollment & eligibility data from your HRIS as of the selected date and stores it in the benefitRelay data warehouse, locking down a copy of exactly what was in effect as of the selected date

Alternatively, you can import enrollment & eligibility information from XML, Access, Excel or ASCII files


Claims &Billing

Connect any enrollment source to any carrierConnect any enrollment source to any carrier

Enrollment &Eligibility

benefitRelay

Data Warehouse

CeridianHR/PayrolleSource

ADPUltiProAbra

PeopleSoftOracleSAP

SHPSEmployeaseHewitt

Blue Cross

Aetna

VSP

Cigna

Input•Real time connection

•XML data

•Excel file

•ASCII data

•SQL Query

Output•HIPAA X12 834

•Vendor Proprietary

•XML

•Excel

Billing & Claims files•Vendor Proprietary Formats

Examples of benefit enrollment sources

Examples of target Insurance Carrier


Carrier ReconciliationCarrier Reconciliation

benefitRelaybenefitRelay allows you to identify adds, allows you to identify adds, changes, terminations and missing data changes, terminations and missing data beforebefore sending to the carriersending to the carrier

benefitRelaybenefitRelay can load bill files, claim files, and can load bill files, claim files, and census roster files and instantly compare them census roster files and instantly compare them to the enrollment data in your HRISto the enrollment data in your HRIS If your carrier can give you an electronic file, If your carrier can give you an electronic file,

benefitRelaybenefitRelay can load it! All formats are supported can load it! All formats are supported


Carrier ReconciliationCarrier Reconciliation

Employee detail is readily available, along with “drill down” of additional information including history and covered dependents

Quickly identify new enrollments (“Adds”), terminations (“Terms”), and any employees that were expected but missing compared to the previous period. Reconcile your enrollment data before you send it to the insurance carrier!

HyperlinkClick for more info


Carrier ReconciliationCarrier ReconciliationbenefitRelay can create a side-by-side comparison in Excel of your enrollment data and the carrier list bill! Two-way matching provides quick identification of

•Enrollment data your carrier has that you don’t (premium overpayment)

•Enrollment data that you have that your carrier doesn’t (missing covered employees)

Match/No MatchRed for employees that

don’t match up, Green forthose that do

Side by Side ComparisonLine up your enrollment dataside by side with data from

your insurance carrier

Insurance CarrierData

Your EnrollmentData


Data Warehouse Reporting & AnalysisData Warehouse Reporting & AnalysisbenefitRelay keeps a copy of all enrollment data that is never changed or deleted. Full historical data is available for reporting and analysis.

One-click access to enrollment data delivered in Excel format. List Bill can be customized for each carrier and contain any information you require


Additional CapabilitiesAdditional Capabilities Once implemented, many customers have found that Once implemented, many customers have found that benefitRelaybenefitRelay

is an ideal platform for many other HR/Benefit/Payroll purposes:is an ideal platform for many other HR/Benefit/Payroll purposes: Total Compensation StatementsTotal Compensation Statements: a custom solution was delivered that : a custom solution was delivered that

uses an extended version of the uses an extended version of the benefitRelaybenefitRelay data warehouse to data warehouse to generate and store all data required for a Total Compensation generate and store all data required for a Total Compensation Statement, and also output a fully customized personalized statement Statement, and also output a fully customized personalized statement that can be easily updated using MS Office toolsthat can be easily updated using MS Office tools

Payroll Analysis and ReportingPayroll Analysis and Reporting: another customer asked if : another customer asked if benefitRelaybenefitRelay could help them get more useful reports out of their could help them get more useful reports out of their payroll system, resulting in an advanced payroll analysis modulepayroll system, resulting in an advanced payroll analysis module

Other HR system connectivityOther HR system connectivity: many customers have found that : many customers have found that benefitRelaybenefitRelay can just as easily send and receive data from other “best can just as easily send and receive data from other “best of breed” HR products, including Payroll, Recruiting, Performance of breed” HR products, including Payroll, Recruiting, Performance Evaluation, Pension and EAP, among othersEvaluation, Pension and EAP, among others


benefitRelaybenefitRelay Results Results

Proven resultsProven results Documented savings of up to 3% - 5% of annual premiumsDocumented savings of up to 3% - 5% of annual premiums Dramatic decrease in time spent managing insurance carriersDramatic decrease in time spent managing insurance carriers Substantial increase in accuracy and timeliness of enrollment & Substantial increase in accuracy and timeliness of enrollment &

eligibility information to all carriers from a single source of dataeligibility information to all carriers from a single source of data Single source of data ensures consistency across all carriersSingle source of data ensures consistency across all carriers Platform for plan analysis and ad-hoc reportingPlatform for plan analysis and ad-hoc reporting Complete audit history to document and quickly resolve Complete audit history to document and quickly resolve

enrollment issuesenrollment issues Satisfied customer references availableSatisfied customer references available


Case Study: Take Two InteractiveCase Study: Take Two Interactive

(Creator of Grand Theft Auto)(Creator of Grand Theft Auto)

EnvironmentEnvironment Previous administrator fired, T2 needed full implementation fast - before Previous administrator fired, T2 needed full implementation fast - before

next billing cycle (4 weeks)next billing cycle (4 weeks) benefitRelaybenefitRelay implemented for 5 carriers, including electronic bill implemented for 5 carriers, including electronic bill

reconciliation and consolidationreconciliation and consolidation Connected with UltiPro (hosted by UltiPro) using standard Cognos reporting Connected with UltiPro (hosted by UltiPro) using standard Cognos reporting

tools to output data in Excel formattools to output data in Excel format Connected with 5 carriers in four weeks by working very closely with carriers Connected with 5 carriers in four weeks by working very closely with carriers

and consultant through development and testing phases, minimal customer and consultant through development and testing phases, minimal customer HR and IT involvementHR and IT involvement

Created monthly summary bills with complete accounting/GL integration Created monthly summary bills with complete accounting/GL integration without missing a premium bill due datewithout missing a premium bill due date

Automated reconciliation of monthly list bills immediately identified Automated reconciliation of monthly list bills immediately identified substantial premium overpayments and ineligible coveragessubstantial premium overpayments and ineligible coverages

Data security and integrity imperative – benefitRelay has helped identify and Data security and integrity imperative – benefitRelay has helped identify and resolve many UltiPro data and configuration issuesresolve many UltiPro data and configuration issues




ResultsResults Began project 4/30, all carriers in full live production by 7/1Began project 4/30, all carriers in full live production by 7/1 Billing reconciliation for all carriers in place by 5/30Billing reconciliation for all carriers in place by 5/30 No interruption in enrollment processing or billingNo interruption in enrollment processing or billing Immediate improvement of data accuracy – many account/structure and setup issues Immediate improvement of data accuracy – many account/structure and setup issues

with carriers identified and correctedwith carriers identified and corrected Immediate improvement in billing accuracy – premium credits identified and verified Immediate improvement in billing accuracy – premium credits identified and verified

within first billing cyclewithin first billing cycle Immediate improvement in UltiPro configuration and data accuracy – many specific Immediate improvement in UltiPro configuration and data accuracy – many specific

employee data issues cleaned up, several significant UltiPro setup issues found/fixedemployee data issues cleaned up, several significant UltiPro setup issues found/fixed All carriers are now receive data from the same source – major improvement in data All carriers are now receive data from the same source – major improvement in data

integrity and consistency. Issues now fixed once in a single place, ensuring all integrity and consistency. Issues now fixed once in a single place, ensuring all carriers have accurate and timely informationcarriers have accurate and timely information

Consolidated bill is far more flexible than previous solution – accounting can easily Consolidated bill is far more flexible than previous solution – accounting can easily group and view billing information in unlimited ways using standard Excel pivot tablegroup and view billing information in unlimited ways using standard Excel pivot table




““Show me the money”Show me the money” Within 4 weeks of implementation, Within 4 weeks of implementation, benefitRelaybenefitRelay was directly was directly

responsible for identifying and documenting enrollment and billing responsible for identifying and documenting enrollment and billing issues that resulted in the following premium credits:issues that resulted in the following premium credits:

Medical Provider: $140,000 credit issuedMedical Provider: $140,000 credit issued Dental Provider: $13,000 credit issuedDental Provider: $13,000 credit issued Life/AD&D/LTD provider: $20,000 credit issuedLife/AD&D/LTD provider: $20,000 credit issued

What makes the above numbers even more amazing is that the What makes the above numbers even more amazing is that the client had a professional employee benefit services firm managing client had a professional employee benefit services firm managing their enrollment and billing data directly with each carrier!their enrollment and billing data directly with each carrier!


Partial Vendor ListPartial Vendor List

A few of the vendors A few of the vendors benefitRelaybenefitRelay has connected with: has connected with:


Partial Customer ListPartial Customer List

A few of the clients that have realized the value of A few of the clients that have realized the value of benefitRelaybenefitRelay::


benefitRelaybenefitRelay – More info – More info

For more information and pricing:For more information and pricing:

Robert BazziniRobert Bazzini

Bazzini Consulting, LLCBazzini Consulting, LLC

(610) 696-3311(610) 696-3311

[email protected]@BazziniConsulting.com

http://www.bazziniconsulting.comhttp://www.bazziniconsulting.com

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BenefitRelay Bazzini Consulting, LLC