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VUE Benefit Summary Tool

VUE Benefit Summary Tool

VUE Benefit Summary ToolTM automates and streamlines the creation of health plan Summaries of Benefits and Coverage (SBCs). The need for manual involvement is sharply reduced, and customer service and agent satisfaction improve.


Showcase Market Leadership

The Tool provides an organized, professional illustration of the differences in various plans’ benefits, meeting customers’ needs and equipping companies to provide superior service. A simplified development process reduces response time to market and increases customer satisfaction and retention.


Use multiple variables to filter and define benefit summaries.   Convert summaries into PDFs for convenient plan comparisons.
Click to enlarge   Click to enlarge

Meet Regulatory and Legislative Requirements

The Patient Protection and Affordable Care Act (PPACA) has established strict standards for readable, uniform SBCs with a compliance deadline of March 2012. VUE Benefit Summary Tool provides an efficient, streamlined and automated system for meeting this new legal requirement. The Tool also provides the flexibility to update plan information and create product-specific templates for easy maintenance.


Organize and Standardize Benefit Summaries

No longer do your marketing, product or operations teams need to create each summary from scratch. Standard, reusable templates allow you to create summaries effortlessly for individuals and customer groups. In addition, the Tool speeds annual re-enrollment processes and eliminates production redundancies, errors, workflow bottlenecks and keyperson dependencies.


Report on Benefit Summary Distribution

Tracking and reporting functions provide strategic analytics capabilities. Information such as the most recently quoted plans and most popular plan elements is easy to view for greater marketing and sales planning insight.


Secure and Store Information

Information in the Tool is stored in a secure, central location accessible across functional teams via role-based security. Stakeholders are kept up to date on the most current templates. The Tool helps ensure consistency, efficiency and accuracy across teams, reducing the instances of outdated or incorrect information being distributed to customers or other internal parties.


Features:



Summary of Benefits and Coverage (SBC) Template

Pre-loaded, legally required standard templates with compliant language

Optional Services packages offering effortless data imports and template maintenance

Continuous availability of the most recent, up-to-date SBC templates

Ability to maintain previous versions of your company-preferred benefit summaries


Medical and Rx Benefits

Ability to use templates to create different benefit deductibles

Automatic naming of benefits

Availability of standard language, such as a glossary of terms

Option to add Rx plans and other riders to base plans

Confidence that only valid combinations of Rx and riders will be populated

Ability to automatically generate a digital preview, then print, email or post online


Custom Summary Generation

Custom summary management to ensure that summaries generated by a salesperson are valid company offerings

Customization options for group policies that include the employer’s company logo


Reporting

Management report for sales production

Audit report for changes

Smart VUE™ reporting to capture benefit summary history


Consulting Services

Knowledgeable consultants who evaluate the current state of your system, make recommendations and help you set up compliant summaries

Support for SBC development as well as use of the VUE Benefit Summary Tool at all levels


Access and Control

Administrative functions for creating templates, importing data and generating output

User functions enabling salespeople to build valid summaries without requiring a comprehensive understanding of all variables

Extensive business rules that provide high levels of control over output


Value

VUE Benefit Summary Tool adds significant value:


Consistent, flexible and up-to-date benefit summaries

Advanced security and audit controls

Summaries that support the Uniform Benefit Summary Rules with respect to SBCs as well as Sarbanes-Oxley, credential verification and other regulations

Potential to expand the system via Web integration and other add-on capabilities


Technology

VUE Software utilizes Microsoft® platform technologies as the foundation for all system development, providing a standard architecture to facilitate enterprise integration and ensure costeffective implementation. The system can be hosted by VUE Software and accessed over the Internet, or hosted on the client’s servers and deployed via a local intranet to company employees.


An active member in Microsoft’s Insurance Value Chain (IVC) program, VUE Software works closely with Microsoft to ensure leading system integration, scalability, reliability and security.



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