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DIRECTORY OF BENEFIT INFORMATION AND CLAIMS SYSTEMS (PART THREE OF SEVENTEEN)

Posted On: Mar. 2, 1997 12:00 AM CST

C
California Interactive
Computing Inc.
25572 Ave. Stanford, Valencia,
Calif. 91355-1102; 805-294-1300;
fax: 805-294-1310Benefit systems since: 1979.
Software systems:
*GenDIS.
Price quoted individually.
System requirements: Pentium PC; Windows NT, UNIX or AIX platform; 32MB RAM, 1GB hard disk; SVGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported include NT SQL.
Online system.
Internet/intranet access.
Customization optional.
First Installation: 1997.
Total installations: One in an employee benefit department.
Benefits managed: Disability.
Features: Enrollment; eligibility verification; short- and long-term disability plan definition; medical case management, duration management, reinsurance tracking, claims management; automated adjustment processing, including calculation of over/underpayment, offsets, FICA, auto release of future (cycle) payments; ability to calculate and deduct employee RICA and other tax; rehab tracking; reserve calculations; capture ICD-9 and DSM-IV codes; disability duration; protocol calculations; system-driven diary; free form notes; interface to W-2 system; produces sick pay report; integrated with workers comp system (GenCOMP); SQL; Excel ad hoc report generation. Options include a document scanning and archival and retrieval system and electronic data interchange.
*GenIRIS.
Price quoted individually.
System requirements: Pentium PC; Windows NT, UNIX or AIX platform; 32MB RAM, 1GB hard disk; SVGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported include NT SQL.
Online system.
Internet/intranet access.
Customization optional.
First Installation: 1979.
Total installations: 100 in employee benefit departments.
Benefits managed: Workers comp, disability, COBRA, group health plans.
Features: Enrollment; eligibility verification for health, dental and vision plans; hospital precertification; claims management; utilization review; claims edit for medical coding; notes and diary for medical case management; treatment guidelines; disability duration guidelines; specific and aggregate reinsurance tracking; medical bill repricing; PPO discounts; ad hoc data analysis and reporting; billing; COBRA administration; query tools; seamless integration for workers comp, disability and group health administration. Options include a document scanning and archival and retrieval system and electronic data interchange.
*GenMED.
Price quoted individually.
System requirements: Pentium PC; Windows NT, UNIX or AIX platform; 32MB RAM, 1GB hard disk; SVGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported include NT SQL.
Internet/intranet access.
Customized system.
First Installation: 1979.
Total installations: 12 in employee benefit departments.
Benefits managed: COBRA, group health plans.
Features: Enrollment; eligibility verification for health, dental and vision plans; hospital precertification; claims management; utilization review; claims edit for medical coding, unbundling and rebundling; notes and diary for medical case management; tracks reinsurance for both specific and aggregate liability; health care provider contract management; PPO; ad hoc data analysis for cost management; COB analysis; outcomes analysis; billing; COBRA administration; integrated imaging for documents, data and text. Options include a document scanning and archival and retrieval system and electronic data interchange.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance nine hours per day*.
Clients: 12 total. Sold systems to two clients in 1996.
Officers: Jerry Buckley, president; Ralph Flygare, director; Eric Hoffberg, vp; Nora Kenner, assistant vp.
Contact: Jerry Buckley.
**Included in system price.
Cantor & Co.
9100 Wilshire Blvd., Suite 445E,
Beverly Hills, Calif. 90212; 310-859-7277;
fax: 310-859-7415Benefit systems since: 1983.
Software systems:
*Riskmap & MQMS.
Price quoted individually.
System requirements: 486 Pentium PC; DOS, Windows 3.1 and above or OS/2 platform; 16MB RAM; 500MB hard disk; multiple user; network operating systems supported include Novell Netware, Banyan VINES, IBM LAN Manager and Windows NT; database management systems supported include dBASE.
Internet/intranet access.
Customization optional.
First Installation: 1985.
Total installations: 50 in employee benefit departments.
Benefits managed: Workers comp, group health plans.
Features: Riskmap: Forecasting of frequency, severity and total benefit cost; paid reserve and incurred loss development; multiple flexible risk financing modules, including discounted cost after tax. MQMS: Pre-programmed modules for incident reporting and claims management, customized modules can be changed without programming, statistical analytical reporting, built-in form and letter processing. Options include interactive voice response and telephone-based entry.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance eight hours per day*.
Clients: 110 total, including 50 benefit departments. Sold systems to 10 clients in 1996.
1996 revenues: $600,000 total. $250,000 from employee benefit information systems sales and services, 25% from software sales, 75% from software services.
Officers: Alan B. Cantor, president; Judith J. Szarka, vp.
Contact: Alan B. Cantor.
**Included in system price.
Cascade Technologies Inc.
333 Thornall St., Edison,
N.J. 08837-2220; 908-906-2020;
fax: 908-906-2018Benefit systems since: 1985.
Software systems:
*Passport.
System requirements: Client: Pentium PC; Windows 3.1 platform; 16MB RAM, 300MB hard disk. Server: Pentium PC; Windows NT platform; 256MB RAM. Client/Server: VGA video; multiple user; network operating systems include any supported by Windows NT and Windows 3.1; database management systems supported include SQL server.
Internet/intranet access.
Customization optional.
First Installation: 1994.
Total installations: 60 in employee benefit departments.
Benefits managed: 401(k) plans, profit sharing.
Features: Client/server-based record keeping system for defined contribution administration; supports all types of defined contribution plans, including 401(k), profit sharing, money purchase, ESOPs and employee savings plans; accommodates periodic and daily processing; includes high-level data conversion facilities, transaction data imports/exports; compliance testing; tax reporting; plan and loan setup; multitasking capabilities; online access for remote sites. Benefit communication features include CAS Voice and Cascade Call Center for distributing calls to benefit personnel.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance nine hours per day*, bulletin board service*, documentation*, sotware updates*.
Staff: 30 total, 28 professionals.
Officers: Vigdis Austad, president; Frank Joicy, executive vp; Michael George, vp-sales/marketing; Adrian Gurzau, vp-client services.
Contact: Jackie Laguna, 908-906-2020, ext. 139.
**Included in system price.
Ceridian Employer Services
8100 34th Ave. S., Minneapolis,
Minn. 55425; 800-729-7655, ext. 600;
fax: 612-853-5390
Benefit systems since: 1982.
Parent: Ceridian Corp.
Software systems:
*Ceridian's Integrated HR/Payroll System for DOS.
Price quoted individually.
System requirements: 386 PC; DOS platform; 540KB RAM (2MB RAM expanded), 45MB hard disk; multiple user; network operating systems supported include Novell Netware; database management systems supported.
Customization optional.
First Installation: 1994.
Total installations: 2,000 in employee benefit departments.
Benefits managed: 401(k) plans, flexible benefits, leave of absence, COBRA, group health plans, life insurance, stock options.
Features: Expanded human resources/payroll module; complete COBRA management; health and welfare plans, including enrollment, tracking and premium management. Benefit communication features include ad hoc reporting for individual benefit reports/statements. Options include human resources/payroll module, applicant track module and check detail module.
*Ceridian's Integrated HR/Payroll System for Windows.
Price quoted individually.
System requirements: 486 PC; Windows 3.1 and above platform; 16MB RAM; SVGA video; multiple user; network operating systems supported include Novell Netware and Windows NT; database management systems supported.
Customization optional.
First Installation: 1995.
Total installations: 3,000 in employee benefit departments.
Benefits managed: 401(k) plans, flexible benefits, leave of absence, COBRA, group health plans.
Features: Enrollment, employee and employer premium management, ad hoc report generation, eligibility verification. Benefit communication features include ad hoc reporting tool using spreadsheets and word processing software. Options include garnishments, check detail, COBRA, employee profile, mass time card entry and group term life.
User support: User groups/meetings, onsite training, telephone assistance, customer conference.
Staff: 3,250 total.
Clients: 3,500 total. Sold systems to 1,020 clients in 1996.
1996 revenues: $1.3 billion total.
Officers: Ron James, president; George Klauser, vp-sales/service operations; Robert Digby, vp-sales; Ken Davison, director-marketing; Frank Reid, vp-human resources; Ken Weber, vp-technology; Lyn Jenson, vp-finance; Vince Freese, vp-service.
Contact: Barry Brown, 612-853-4881.
**Included in system price.
Computer Workware Inc.
5409 Eglinton Ave. W., Suite 108, Toronto, Ontario, Canada M9C 5K6; 416-620-1704;
fax: 416-620-5692Benefit systems since: 1984.
Software systems:
*FAST Benefits Administration System.
Price: $25,000 to $40,000. Quoted individually.
System requirements: 386 Pentium PC; DOS, Windows 3.1 and above or OS/2 platform; VGA or SVGA video; multiple user; network operating systems supported include Novell Netware, Banyan VINES and IBM LAN Manager; database management systems supported include Sybase and dBASE.
Online system.
Internet/intranet access.
Customization optional.
First Installation: 1984.
Total installations: 2,800 in employee benefit departments.
Benefits managed: Flexible benefits, disability, leave of absence, COBRA, group health plans, life insurance.
Features: Enrollment, eligibility verification, health care precertification, tracking of reinsurance liability, accounting, discrimination testing, ad hoc data analysis and reports. Benefit communication features available include terminals and electronic files. Options include trust accounting module.
*FASTCHOICE Enrollment System.
Price: $10,000 to $15,000. Quoted individually.
System requirements: 486 PC; Windows 3.1 and above or OS/2 platform; 8MB RAM; 100MB hard disk; VGA or SVGA video; multiple user; network operating systems supported include Novell Netware, Banyan VINES and IBM LAN Manager; database management systems supported include Sybase and dBASE.
Online system.
Internet/intranet access.
Customization optional.
First Installation: 1995.
Total installations: 10 in employee benefit departments.
Benefits managed: Flexible benefits, disability, group health plans, life insurance.
Features: Enrollment processing and modeling for flexible benefit plans and standard plans. Benefit communication features available.
User support: Onsite training*, online support*, telephone assistance eight hours per day*.
Staff: 15 total, six professionals.
Clients: 2,800 total, including 2,600 employee benefit departments. Sold systems to 250 clients in 1996.
1996 revenues: 65% from software sales, 35% from software services.
Officers: Edward G. Robinson, president; Keith Formosa-Blundell, vp.
Contact: Keith Formosa-Blundell, 416-620-1704, ext. 223.
**Included in system price.
Corbel
1660 Prudential Drive, Jacksonville, Fla. 32207; 800-326-7235; fax: 904-399-5551
Benefit systems since: 1974.
Parent: Sungard.
Software systems:
*AutoDoc Pension.
Price quoted individually.
System requirements: 386 PC; DOS platform; 2MB RAM, 40MB hard disk; multiple user; network operating systems supported include Novell Netware; database management systems supported.
Customization optional.
First Installation: 1994.
Total installations: 650 in employee benefit departments.
Benefits managed: 401(k) plans; flexible benefits; profit sharing; retirement/pensions; all types of qualified plans, including 403(b), target, defined benefit, ESOP, stock bonus and money purchase.
Features: Single point of entry, validates data entry for inconsistencies, tracks plan modifications, audit trail, generates complete document package, multilevel pricing. Options include document reporting system that tracks plan data and generates hoc reports.
User support: Onsite training, telephone assistance 12 hours per day*, legal/technical consulting*.
*AutoDoc TPA.
Price: $2,500. Quoted individually.
System requirements: Pentium PC; Windows 95 platform; 16MB RAM, 1GB hard disk; VGA or SVGA video; network operating systems supported include Novell Netware; database management systems supported.
Customization optional.
First Installation: 1992.
Benefits managed: Group health plans.
Features: Up-to-date self-funded health plan language, data entry from checklist format, automatic build and print capability, editing, validation, tracking, automatic table formatting, automatic summary plan description booklet layout. Options include administrative services agreement document, trust document.
User support: User groups/meetings, onsite training, online support*, telephone assistance 12 hours per day*.
*Quantech.
Price: $6,700 to $29,000. Quoted individually.
System requirements: Pentium PC; Windows 3.1 and above platform; 16MB RAM; 750MB hard disk; VGA or SVGA video; single user or multiple user; network operating systems supported include Novell Netware and Windows NT; database management systems supported include Oracle.
Customization optional.
First Installation: 1994.
Total installations: 800 in employee benefit departments.
Benefits managed: 401(k) plans, profit sharing, money purchase, ESOP.
Features: Eligibility verification, contribution and gain/loss allocations, non-discrimination testing, Actual Deferral Percentage/Actual Contribution Percentage testing, relational database, report writer, participant loan module, census import/export, transaction import/export. Benefit communicatin features include standard reports, report writer and voice response unit. Options include client and task tracking, trust accounting, government reporting and daily processing.
User support: User groups/meetings, onsite training, online support*, telephone assistance 12 hours per day.
Staff: 198 total, 120 professionals.
Clients: 2,000 total. Sold systems to 200 clients in 1996.
1996 revenues: $19.5 million total, all from employee benefit information systems sales and services, 30% from software sales, 70% from software services.
Officers: Don Mackanos, senior vp.
Contact: AutoDoc Pension: Tim Edgar, 800-326-7235. AutoDoc TPA: J. Derek Holmes or Joseph Leo, 800-326-7235. Quantech: Jim Barth or John Latson, 800-326-7235 ext. 1100.
**Included in system price.
Corporate Health Strategies
2 Whitney Ave., New Haven,
Conn. 06510; 203-781-5100;
fax: 203-624-7935
Benefit systems since: 1981.
Parent: United HealthCare Corp.
Software systems:
*Parallax.
Price: $45,000 minimum. Quoted individually.
System requirements: 486 PC; Windows 3.1 or Windows 95 platform; 8MB RAM, 35MB hard disk; VGA video; multiple user; network operating systems supported include Novell Netware, Banyan VINES and IBM LAN Manager.
Online system.
Customization optional.
First Installation: 1985.
Benefits managed: Workers comp, disability, leave of absence, COBRA, group health plans, employee assistance program, wellness, prescription, mental health.
Features: Decision support tools for analyzing, managing, forecasting, monitoring and evaluating various benefit plan design issues related to health care costs, quality outcomes and access; ad hoc data analysis and report generation. Options include benefits modeling for indemnity network and HMO plans using a claims repayment methodology.
User support: User groups/meetings; onsite training*; telephone assistance eight hours per day*; analytic and consulting assistance.
Staff: 70 total.
Officers: Robert Jahreis, vp.
Contact: Stephanie Valeiko, manager-marketing.
**Included in system price.
Corporate Systems
1200 Corporate Systems Center, Amarillo, Texas 79102; 806-376-4223;
fax: 806-376-4077Software systems:
*Disability Claims Management System.
Price quoted individually.
System requirements: Pentium PC; Windows platform; network operating systems supported include Novell Netware; database management systems supported include Oracle.
Online system.
Customization optional.
First Installation: 1967.
Benefits managed: Workers comp, disability.
Features: Claims administration system; integration between workers comp and non-occupational disability; interface capabilities with case management systems; automated user-defined adjuster diaries; check writing, taxation, application and tracking capabilities; statutory reporting. Benefit communication features include integrated word processing package for document creation. Options include CS Knowledge, CS + Managed Care and TeleClaim modules.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance eight hours per day*, tutorials*, CS university courses*.
Staff: 434 total.
1996 revenues: $45 million total.
Officers: Johnny Mize, president/CEO; John Champlin, vp-client services; Scott Gilmour, vp-sales/marketing; Mike Unruh, vp-finances/CFO; Marc Sollosy, vp/chief information officer.
**Included in system price.