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The process for administering disability claims is very different from that of medical claims. Not only can it be more costly and labor-intensive, but it requires different functions for managing payment. Instead of using a completely different claims processing system for disability claims, Facets Disability Module runs on the same Facets core administration platform used for other healthcare claims processing. This ensures that all processes are efficient, cost-effective and fully integrated.
The Facets Disability Module:
Real-time delivery of claims and customer service items, reducing bottlenecks and automating work.
Near real-time accumulator synchronization between Facets and third-party vendors.
Supports the administration of flexible spending accounts, health reimbursement arrangements, and health savings accounts.
Real-time ITS solutions for claims processing and member liability estimation for BCBS plans.
Data publishing and web services that extend and integrate with the Facets system in real-time with third-party applications.
Administer and reimburse long- and short-term disability benefits
Supports HMO products for capitated entities to share financial risk and claims, along with UM processing responsibilities.
Increase efficiency with dental-based claims processing and adjudication.