Comprehensive functionality to support specialty lines of business.
QicLink AutoDental™ incorporates user-defined dental processing edits to drive increased claim auto-adjudication. When used in conjunction with QicLink ClaimWorkflow, AutoDental can accept claims electronically. The application integrates with dental usual and customary tables and stores member/enrollee dental histories. Tooth charts automatically update with each claim.
QicLink™ Dental Logic allows administrators to develop a series of customer-specific dental claims processing rules that help confirm claim appropriateness prior to payment. QicLink utilizes these rules to determine how to electronically process dental claims based upon the criteria established for a specific plan, revision level, procedure, tooth, surface and age. The Dental Logic rule data ensures that the oral care service provided meets customer plan requirements as well as standard dental practice policy, based on procedure code and prior claim history.
QicLink Consumer-Directed Healthcare (CDH) Suite helps TPAs cost-effectively administer high-deductible health plans, health savings accounts and health reimbursement arrangements. The suite of applications automates the combined administration of HRAs/FSAs/HSAs; improves workflows; enables online enrollment and access; and facilitates seamless interoperability across the enterprise.
QicLink Benefits Exchange™ (QBE) lets administrators offer a comprehensive integrated online solution to their client managers and enrollees. With QBE, system users can automate routing of benefits inquiries and provide enrollees, physicians, hospitals, PPOs, employers, and plan sponsors with secure online access to eligibility data and claims status information.
QicLink™ Disability Benefits manages both short- and long-term disability benefits processes—from specifying a disability benefit plan to year-end W-2 information processing. The software stores information for each employer group by effective dates, check group, carrier, policy number, fund account number and minimum fund balance. Each employer group can be maintained using Federal, Medicare, Social Security, State and two user-defined withhold tax tables. Both short- and long-term benefits can be linked for processing—with payments generated automatically based on the duration and frequency defined by the user.
QicLink Flexible Spending™ is a comprehensive record keeping system that maintains enrollee contributions and expense and payment information and tracks year-to-date activity. The application allows for multiple user-defined account types (healthcare, dependent care, pre-tax premiums, etc.) and applies edits when contributions, expenses and payments are entered.
