An Integrated Solution for Every Role
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Healthcare payers understand how big of a role their claims system technology plays in the overall efficiency and business activity of their organization. Key features such as automation to back-office functions, business intelligence tools, and real-time access to data keep operations running smoothly and your members engaged. Beacon has created SpyGlass, our enterprise-class claims processing system, to positively impact every role in your organization from the top down. Below we’ve outlined the key benefits each user experiences while using our system.
Executives
Clear interactive dashboards, automated delivery of reports, and built-in insightful ways of “slicing and dicing” analytical reports support a broad range of executive needs to direct the organization and manage the claim fund. In a pinch, the easy-to-use user interface allows even executive-level personnel to easily navigate claims if they have to. In one case, a VP of a customer was in the office late on a Friday and had just finalized important negotiations on a prompt-pay discount. As the claims department had already left, he decided to see how easy SpyGlass was to use. He mentioned that it was very straightforward and added, "If a lug like me can pay a claim, anyone can do it."
IT Staff
SpyGlass is a true web application, developed with a very light footprint supporting wide browser compatibility. The system’s security model is strong, tested, and certified safe. Furthermore, you retain control of things like password stringency requirements, reset requirements, number of retries, and can even request notifications if users are locked out of the system due to multiple failed attempts. Since the application is accessed solely through a web browser, very little configuration is needed on the individual desktop. This ensures that hardware requirements are easily within reach of even budget-constrained IT departments. Beacon places its configurable data import/export tool and the full range of real-time APIs at the fingertips of the IT staff when they are called upon to integrate data from other systems with SpyGlass.
Operations
Secure, automated scheduled jobs with appropriate notifications are the stock-in-trade of HIPAA Director, included with SpyGlass. The system goes beyond support for just the key HIPAA transactions, helping you manage files and integrations with a wide range of vendor types, like PBMs, banks, data warehouses, consultants, auditors, third-party printers, and many more. We’ve designed HIPAA Director for all these automated tasks with appropriate notifications and end-user configurability without the need for technical intervention, allowing your staff to focus on more strategic tasks.
Benefit Administrators
From extensive auto-adjudication controls to intuitive benefit plan design, SpyGlass delivers the capabilities necessary to let you intelligently manage an unlimited array of plans. When benefits change, especially at annual renewals, a few tweaks in just the right places support deft changes to related or similarly configured plans. SpyGlass has some built-in elegant tricks to help keep things simple and maximize your control with minimal configuration effort.
Claim Examiners
The SpyGlass system was built with claim examiners in mind. The system offers extensive workflow efficiencies and powerful automation technology to reduce costs and adjudicate claims quickly and accurately. Our easy-to-use interface provides the necessary information at your fingertips, allowing claim edits, overrides, adjustments, and reimbursements to be accomplished with just a few clicks. The strong, controlled auto-recovery features for collecting any overpayments lets your examiners avoid taking up unnecessary time from your accounting staff. Comprehensive episode tracking allows your team to gather claims into related groups automatically and provides leverage over even the most challenging claim scenarios.
Customer Service Representatives
The SpyGlass customer service module seamlessly leverages all the core components of the claims system into one place for your CSR team, like claims, eligibility, providers, images, notes, correspondence, and other related system information. Interactive dashboards deliver intelligent, actionable data, streamlining a customer service representative’s day-to-day tasks. SpyGlass is strong for member and claim support, providing real-time access to a member and covered dependents’ claim history, coverage history, and accumulators, all within just a few clicks.
Members
SpyGlass empowers your member engagement strategy by unifying data, delivering a simplified member experience, and providing quick claim turnaround. This goes beyond just portals. Our member-focused system allows your population to quickly check benefit levels, print a facsimile of their ID cards, view the status of claims, and easily access stored documents like EOBs. With Beacon’s new claim management notifications in SpyGlass, members will always be informed on their health claim processes by receiving real-time updates straight to their email or mobile phone. Additionally, our responsive online enrollment module takes the traditional tedious, paper-based enrollment process and turns it into a user-friendly solution that streamlines enrollment and supports more informed decision-making.
Providers
SpyGlass allows providers to self-register using a strong authentication process. Once authenticated, providers gain access to claims and eligibility information through an easy-to-use interface, translating to administrative savings through reduced phone calls and emails. The provider portal allows registered users to easily perform self-service functions such as checking claim status, accessing EOP documents, and verifying accumulator values.
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| Resources for Learning More |
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