PAINS
Outside
reps synchronization
Old outdated
software system
Data double entry
Back office
integration
Long rep training
period
Difficult to use, complex
software
Increasing
development time
Other IT pains
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PAIN DESCRIPTION:
Imagine there exists back-office integration between your front
office system and all of the following: accounting system, Outlook,
underwriting/rating system, claim processing system, and reporting
tools. Moreover, your front office allows you to keep track of everything
related to your prospects, member companies, subscribers, agencies,
brokers, health care providers, and specialists. No more fumbling
through multiple interfaces or dealing with multiple logins.
No need to imagine anymore. Now you can experience it.
PAIN ANALYSIS:
In todays competitive marketplace, successful Health Plans
are becoming increasingly customer-centric. To support this effort,
MCOs are looking for comprehensive front office back office solutions
to automate and enhance customer-centric processes. Integrated front
office back office solutions allow access to the same customer information
across multiple departments and across diverse applications, enabling
a Health Plan to maximize customer service levels.
Customer service, satisfaction, and retention are critical to growing
revenues. It is much more cost-effective to keep an existing member
than find a new one, so taking care of existing customers and servicing
their needs is of utmost importance. That is why front office applications
like HMOZ Customer Relationship Management (CRM) solution, the core
of front office software for managed care organizations, are projected
to become the largest growth segment in the software market and
are expected to have a lasting impact on how HMOs/PPOs conduct business
in the future.
An investment in a front office solution will allow an HMO to build
its business around subscribers. This commitment leads to strong
customer loyalty and higher sales productivity. HMOZ offers the
following management solutions:
HMOZ Sales
This functionality empowers sales teams to maximize both sales efficiency
and member loyalty. When integrated with most back office systems,
HMOZ can deliver direct access to pricing, plan design specifications,
quotes, and renewals.
HMOZ Marketing
HMOs can manage sales campaigns end-to-end and use HMOZ tools for
easy-to-use datamining, prospect response tracking, return on investment
(ROI) measurement, and campaign metrics reporting.
Sales quotes can be created in HMOZ and flagged for submission to
your underwriting system. Underwriters can work with this information
to return their rates. Information can be easily submitted to your
accounting system. The accounting application then validates the
order and recalculates with current tax information. If the sales
quote or renewal meets submission criteria, it sends an approval
notification back to HMOZ.
Benefits
- Enables integration between HMOZ and back-office financial management
applications
- Provides timely, accurate financial information critical to
selling to and supporting customers
- Presents sales people and accounting personnel the information
they need in a familiar interface they understand
- Provides the flexibility to accommodate customizations and
work in concert with unique business processes
Features
- Accounting Information
- Quotes and Renewals History
- Payments
- Plans/Products Information
- Plan Design Information
- Rating/Pricing
- Groups/Reports
- Back-Office Access
Accounting Information
- View copay, current balance, and aging A/R
- Access account type and status
- View last activity, premium YTD and average days to pay
Invoice History
- View invoice number, date, type, and provider
- Reference policy number, amounts, tax, and discount
Open Invoices
- View invoice number, date, due date, and policy number
- Reference invoice amount, balance, and status
Open Quotes
- View quote date, number, and type
- Reference policy number, amount, tax, and deposit data
Payments / Receipts
- View check date, invoice number, check number, transaction amount,
and status
- Provide rapid responses to customer inquiries
Product Information
- View product name, plan number, family, group, and type
- Access pricing, substitute riders, units, and costs
Pricing
- View current plan/product pricing and discount schedules
- Produce accurate quotes and associate with customer records
Groups/Reports
- Create groups based on financial information and status
- Generate reports, send letters, or create call lists for collections
Create Quotes/Renewals
- Generate quotes and renewals and associate with customer records
- Access plan design options, current pricing, and discounts
Back-Office Access
- Track sales order information from within customer records
- View credit history and status
With Integration...
- Sales Wins: Unprecedented levels of insight into the
quoting and renewal process
- Accounting Wins: Increased control of the policy creation
process
- Your Business Wins: Efficiency and effectiveness gains
across the organization
Efficiency and Effectiveness Gains Across the Organization
- Quotes get to accounting faster
- Customers receive coverage sooner
- The insurer gets paid faster
- Sales people and brokers get commission checks earlier
- Subscribers are serviced better
ADVICE:
It is this high level of HMOZ integration with leading financial,
ERP, claim processing, and underwriting systems that empowers everyone
in your managed care organizationfrom sales, marketing, and
underwriting to accounting and financeto work together, efficiently,
in the business of building profitable customer relationships.
Integrating HMOZ with your back-office solutions gives your employees
greater customer insight by enabling them to:
- Quickly identify cross-sell opportunities and up-sell better
riders
- Easily access payment history information
- Identify additional purchasing power or lack of it
- Identify availability of products for sales
- Quickly assist customers with order status
- Generate more accurate quotes and proposals
Solution Audit is the best way to find out if your back-office
systems integrate with HMOZ.
One Demo is better than a thousand words, and one Solution
Audit is better than a thousand demos. We encourage you to follow
our CRM proverb and take advantage of this opportunity.
Click on one of the three links below to continue your HMOZ research.
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