NFP Health provides it’s customers with best-in-class solutions to meet their exchange technology and service needs. To learn more, click the icons below.
Financial
Management
Reconciliation
Services
Enrollment
Shopping
Experience
Third-Party
Integrations
Financial
Management
NFP Health offers a mature premium billing & aggregation platform used by nearly a dozen public and private health insurance exchanges. NFP built the solution to support a multi-carrier, multi-product exchange that can consolidate billing and premium collection onto a single bill across many carriers and products and aggregate the collected payments to the correct insurer. It features broker and general agent commissioning tools, state treasuries and accounting systems, and large group payroll systems.
NFP built the solution to operate on its own as the single source of truth and can also integrate with third-party enrollment systems. The platform and its services provide customers with:
- Lockbox
- Integration with retail payment vendors
- Notices
- EDI 820 transactions for carrier payment
- Reporting
- Commissioning
Reconciliation
Services
Our robust reconciliation product enables the reconciliation of enrollment data between carriers and exchanges. The speed and accuracy of our reconciliation tool ensure data is in sync across applications and discrepancies are avoided.
- Initial invoicing
- Monthly billing
- Electronic Payments (ACH & Credit Card)
- Leverages decades of reconciliation experience
- Produces a list of discrepancies and suggestions on how to reconcile
- Technology is proven and backed by NFP Health’s private exchange, HSA Insurance
Enrollment
Our full-featured enrollment system quotes plans, displays plan rates & benefits and provides enrollment into these plans. It also allows for account management where customers (individual, group, broker, and administrators) can review their accounts, make payments, and initiate enrollment changes.
- Ability to easily add or make changes to plans
- Review of the plan terms
- EDI 834 transactions
Shopping
Experience
Our online portal helps employers and individuals shop for the best health plans to meet their needs and budgets. The website also supports carrier and exchange branding, online enrollment, account management, and bill pay. Some of our features of the portal include:
- Plan comparison
- Benefits information
- Dynamic rating engine
- Real-time quoting
- XML transfers
- Decision support
- Carrier branding
- Special Enrollment Periods
- Renewal Management
- Delinquency Management
- Agent and General Agent features
- Electronic & Print Notices
Third-Party
Integrations
NFP Health understands the importance of system integration with third parties. For our clients, we are open to integrating with any third-party service that supports the delivery of exchange solutions. Below are some examples of integrations we use to support our public and private exchange technologies:
- CMS
- Health insurance carriers
- Dental insurance carriers
- Banks, including Bank of America, Wells Fargo, and Webster Bank
- Credit card merchants and hosted payment gateways
- CRM (Customer Relationship Management) platforms, including Salesforce
- Contact center platforms, including Vonage Contact Center
- Digital marketing service providers, including printing and mailing
