VUE Benefit Summary Tool™ automates and
streamlines the creation of health plan Summaries of
Benefits and Coverage (SBCs). The need for manual
involvement is reduced, and product administration
and customer service efficiency is improved.
Flexible Creation of Compliant SBCs
The tool provides an organized, professional illustration of various plans'
benefits, meeting customers' needs and equipping companies to provide
superior service. Flexible template-based system gives maximum control to
product administrators. Streamlined SBC generation interface eases plan
selection for sales and service users. Summaries are created in PDF documents
and available to print and email. Reports are generated to track summary
creation and distribution method.
| Use multiple variables to filter and define benefit summaries. |
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Convert summaries into PDFs in
PPACA-required format. |
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The Patient Protection and Affordable Care
Act (PPACA) has established strict
standards for readable, uniform SBCs with
a compliance deadline of September 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 key-person
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.
Securely 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reducing the instances of outdated or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.
Summary of Benefits and Coverage (SBC) Template
Pre-loaded, regulation 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 companypreferred
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
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.