Revolutionizing Healthcare Experiences
Oracle Health offers a comprehensive SaaS solution for policy administration, revenue management, and billing to assist health insurance companies in achieving faster enrollments and accurate billing. This solution ensures competitive edge by enabling frictionless onboarding, efficient member management, and flexible billing options for payers.
Core Administrative Platform for Health Plans
The Oracle Health Insurance solution simplifies claims processing and premium billing, providing an end-to-end core administrative platform for health plans of all sizes. By modernizing systems at scale, introducing new products swiftly, growing enrollments, and increasing market share, health plans can enhance their operational efficiency and competitiveness.
Value-Based Payments and Efficiency Enhancement
Oracle Health Insurance Value-Based Payments Cloud Service streamlines payments to enhance efficiency and patient outcomes for payers. This service reduces errors and manual tasks, allowing health insurers to optimize operational efficiency and adapt payment models effectively. By scaling up value-based payments, health plans can ensure success and better quality of care for their members.
Policy and Claims Administration Simplified
Oracle Health Insurance enables efficient policy and claims administration across commercial lines, government programs, and specialty lines through a single platform. Payers can easily set up employer groups, streamline member enrollment processes, and deliver exceptional customer service with centralized member data, supporting transparency and operational efficiency.
Streamlining Provider Contracts and Claims Adjudication
With Oracle Health Insurance, health insurers can streamline maintenance of provider contracts and boost claims auto-adjudication processes. By reducing operational costs, simplifying claims administration, and improving claims pricing accuracy, payers can efficiently manage provider contracts while automating claims adjudication for enhanced operational efficiency.
Automating Revenue Management and Billing Processes
The Oracle Health Insurance solution automates billing, payment, and collection processes to improve member satisfaction. By ensuring timely, accurate, and transparent billing for all plans, health insurers can streamline revenue management across various billing types, including exchange, individual, group, ASO billing with stop-loss, and government plans.
Enhancing Data Management and Patient Outcomes
Oracle Health Insurance supports improved healthcare data management and better patient outcomes by making patient information interoperable, accessible, and reusable. By consolidating healthcare data in a single repository, including discrete clinical data, clinical documents, and patient summary records, health insurers can reduce costs and enhance patient care outcomes.