Monument Systems xpress™ Smart Series
Value Proposition
Health Plan's Future Depends on Vision, Efficiency, and Value.
Investing in Core Administrative Systems is about delivering VALUE to subscribers, members, and plan participants.
- The revolutionary movement to ICD-10 will provide health plans with the ability to get very creative with benefit plan design and provider contracts.
- Provider contracting may be even more difficult to maintain based on the enormity of algorithms that could be utilized in the contracts ultimately paying claims under new fee schedule and benefit structures.
- As such, Monument xpress™ Smart Series delivers the flexibility to handle these complexities and enable the creativity of the Health Plans to offer these new arrangements for both members and providers. To this end, Monument is focused on solutions that enable better financial management, continuous improvement in operational performance, and informative meaningful interactions with members.
Monument's State of the Art Monument Systems xpress™ Smart Series delivers these Critical Success Factors.
- Flexible Financial Management: The ability to manage the in-flow and out-flow of premiums, reimbursements, and effective electronic financial transactions is critical in a world where every dollar for health care is scrutinized, tracked, and measured. Monument Systems xpress™ Smart Series delivers 5010 HIPAA transactions, EFT flexibility, ICD10 readiness, extensive audit control, and flexible reporting for modeling and tracking financial performance.
- Efficient Operational Performance: Designed on continuous process improvement philosophies of the quality movement, Monument Systems xpress™ Smart Series is designed by managed care and health plan experienced people who understand the complexities of plan administration, claims processing, contract management, provider relations, and regulatory compliance. An integrated approach to information management along with strong, flexible reporting give Monument Systems xpress™ Smart Series significant value to the health plan, the provider network, and the plan participants.
- Creative Member Interaction: The ability to retrieve and gather information quickly in order to resolve a provider billing issue, answer a member question, adjudicate a claim, or address a referral or pre-authorization position Monument Systems xpress™ Smart Series above other systems in the health plan market. The framework to integrate clinical and administrative information along with event driven processes based on plan, benefit, and care management rules. Monument Systems xpress™ Smart Series gives health plans a powerful solution to keep members engaged, informed, and directed within an effective and highly optimized care process resulting in quality outcomes.