"I Need A Copy Of This For The Patient's Record"

FlexVP Managed Care Applications

ISG has created a series of IVR applications that can be selectively integrated to provide custom call handling solutions for health care organizations.


FlexFax Server

The FlexFax server allows for  faxes to be automatically sent from the voice response unit.

Using the system a caller can elect to have an individual fax page sent per transaction, or have multiple entries combined and faxed on a single page.

FlexFax templates are available for the eligibility, claims,  referral and authorization applications.

Depending on data availability, fax sheets can include detailed membership, claims and referral information, as well as: name, social security number, health plan ID, sex, birthday, PCP name, PCP phone number, plan termination date and benefit summary/limitations.

All fax sheets include HIPAA disclaimers and instructions.

 

Voice Response Overview

FlexVP IVR Platform

FlexVP allows callers to automatically access healthcare and member information using a touch-tone telephone. Applications include verification of member eligibility, obtaining member benefits information, accessing status of claims information, and authorizations / referral entry and review.

This information is obtained through an interface to the managed care organization's claim system. ISG has integrated the FlexVP interactive voice response (IVR) system with healthcare claims systems offered by: DST Health Solutions, Perot Systems, Erisco Facets, Ika Systems, and OAO Healthcare.

FlexVP can access network or LAN databases including Microsoft SQL, Oracle, MySQL, etc. using a data view, stored procedure or web service.

For legacy products,  FlexVP can connect to mini or mainframe computer using 5250, 3270, VT100 or other terminal emulation.


FlexVP Benefits

  • Information available 24 hours a day, 7 days a week
  • Faster service to providers and members
  • Decreased wait times and abandonment rates
  • Increase call capacity without adding service reps
  • Customer defined levels of login and password security
  • On-line, real-time system status checks and reporting
  • Provide consistent information to insure HIPAA compliance
 

2009 Insurance Systems Group, Inc. P.O. Box 50387 Raleigh, NC 27650