Products > Nex-Health Bridge

Introduction

Nex-Health Bridge is the technologically leading innovative application platform and business process integration software for health insurers in USA and Europe. With our experience in insurance industry we know that the requirements of IT solutions are predominantly high in this sector. Nex-Health Bridge offers clients of multi angels providing insurance business management at a feasible cost features according to the relevant functionalities.

Nex-Health Bridge absolutely combines products and applications that have proven themselves in practice, which is partially complex and exemplified by many individual issues. The consistently implemented component and service architecture supports all forms of individualized process optimization, simplifies. It is a scalable, reliable, and cost-effective solution for carrying out all business-critical health insurance processing functions..

We offer a focused, supported approach to provide a secure future for our clients through affordable solution that helps to meet their needs and expectations.

Cross-sector is an advantage

The advantages that the use of Nex-Health Bridge brings with it can also be extended to other insurance sectors, through the multifaceted implementation possibilities. In this case, for example, the various contracts of one customer can be administered using only one system.

Effortless to Customize

Nex-Health Bridge offers exceptional values in the important criteria of scalability, availability, robustness and performance. Because the systems can be easily customized to new situations and structures, no complex programming is required.

High Return on Investments

The process-oriented complete solution, Nex-Health Bridge, consists of components that can be implemented in their entirety or also individually, in connection with existing systems/sub-applications. Previously implemented functionalities and products can thus continue to be used in the interest of investment protection. Standard interfaces – for example, to the SAP Financial Accounting system – facilitate straightforward integration into the already existing user landscape. Decide for yourself, which of your current IT applications you would like to continue to use or replace in future with Nex-Health Bridge.

Comprehensive service solutions for Nex-Health Bridge

Nex-Health Bridge servicing and integration teams work closely with other product partners to give comprehensive business process solutions. These extend from strategic planning, to implementation, right up to maintenance, a release management and the timely implementation of legal stipulations.

Apply Innovation

Nex-Health Bridge contains a “rapid product engine”. Our customers confirm that only a maximum of 1 – 3 months pass, from the idea to market introduction of new insurance products. With this, any number of product characteristics can be defined or several products can also be combined with one another.

Induce Customer trustworthiness

Every customer has real-time information available, which puts his/her ability to provide information at the highest level. Nex-Health Bridge displays the complete case, including correspondence. Thus, a single glance at the screen is sufficient for assessing the situation.

Specializes Process automation

The rule-based performance management of Nex-Health Bridge reduces overpayments, automatically checks cover entitlements and regulates simple cases without manual intervention.

Optimize control

An optional tabular/graphic management summary supplies the most important data of the customer portfolio. According to freely selectable criteria, the customer base can be intelligently segmented. The specialist department is in a position of being able to carry out a simple, direct and flexible assessment, without additional IT support. New reports can be prepared in only a few minutes. The joint database also allows a standardized definition of all data.

System Specification

Policy Center

  1. Insurance Policies
  2. Policy Administration
  3. Price Quotes
  4. Policy Groups
  5. Claims

Customer Center

  1. Applications
  2. Broker
  3. Agency
  4. Agents
  5. Endorsements
  6. Special offers
  7. Sales Center
  8. Expenses
  9. Contract

Portfolio Management

  1. Administration
  2. Inventory Change Control
  3. Collection and Disbursement
  4. Due diligence
  5. Outstanding Position Accounting
  6. Product Innovation
  7. Financial Management

Process Management

  1. Setup
  2. Underwriting
  3. Auditing
  4. Risk Analysis
  5. Renewal
  6. Retention

Case Management

  1. Medical Costs
  2. Daily Allowance
  3. Claims Management
  4. Managed Care
  5. Benefit Portal
  6. Benefit Case Definition
  7. Coverage Entitlement Limit Check
  8. Benefit Spitting and Calculation
  9. Recovery Processing

X-Factor Utilities and Subsystems

  1. Payments Management
  2. Partner Management
  3. Reinsurance / Co-insurance Utility
  4. Correspondence Management
  5. Document Management
  6. Control of Document Flow
  7. Policy Registration System
  8. Policy Validation system
  9. Workflow
  10. Business Intelligence
  11. Content Management System
  12. Individual Printing and Mass Printing
  13. Data import / Export system
  14. User Administration (Incl. Roles and Profiles)
  15. Backup System
  16. Management Information Systems