Help

BI’s Article search uses Boolean search capabilities. If you are not familiar with these principles, here are some quick tips.

To search specifically for more than one word, put the search term in quotation marks. For example, “workers compensation”. This will limit your search to that combination of words.

To search for a combination of terms, use quotations and the & symbol. For example, “hurricane” & “loss”.

Login Register Subscribe

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

Reprints

H
HCIA Inc.
300 E. Lombard St., Baltimore, Md. 21202; 800-568-3282; fax: 410-783-0575
Benefit systems since: 1989.
Software systems:
*CHAMP (Comprehensive Healthcare Analysis & Management Program).
Price quoted individually.
System requirements: Pentium PC; Windows 95 or Windows NT platform; 32MB RAM; VGA or SVGA video; multiple user; network operating systems supported include Novell Netware, Banyan VINES or IBM LAN Manager; database management systems supported include Visual FoxPRO.
Online system.
Customization optional.
First Installation: 1989.
Total installations: 80 in employee benefit departments.
Benefits managed: Workers comp, disability, COBRA, group health plans, mental health/substance abuse, prescription, dental, vision.
Features: Supports claims management, utilization review, tracks reinsurance liability, medical coding/unbundling, medical case management, health plan financial management and provider contract management, physician hospital profiling, disease management, demand management, episode of care analysis, HEDIS measures health plan network management, quality of care and outcomes management, benefit modeling, ad hoc data analysis and report generation. Any detail not in a client's database can be provided through a generic database.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance eight hours per day*, newsletter*.
Staff: 75 total, 63 professionals.
Clients: 80 total, including 55 benefit departments. Sold systems to nine clients in 1996.
1996 revenues: $73.5 million total. $8.6 million from employee benefit information systems sales and services, 45% from software sales, 55% from software services.
Officers: George Pillari, chairman/president/CEO; Barry Offutt, senior vp-finance; Jean Chenoweth, senior vp-industry relations; Don Good, senior vp; Sachi Morishige, senior vp-operations.
Contact: Tony Likovich, senior director.
**Included in system price.
Hay/Huggins Co. Inc.
229 S. 18th St., Philadelphia,
Pa. 19103; 215-875-2569;
fax: 215-875-2524
Parent: Hay Group Inc.
Software systems:
*PCL Pension Calculation Language.
Price quoted individually.
System requirements: 486 PC; Windows 3.1 and above platform; 8MB RAM, 5MB hard disk; VGA or SVGA video; single or multiple user; network operating systems supported include Novell Netware and IBM LAN Manager; database management systems supported include Oracle, Sybase, NT SQL and dBASE.
Customized system.
First Installation: 1992.
Benefits managed: Disability, life insurance, retirement/pensions, social security benefits.
Features: Calculates retirement income, benefits under different retirement scenarios, disability benefits, vested benefits upon termination, cash-outs, death benefits, retirement income projections, calculates optional benefit forms, including joint and survivor benefits, temporary social security supplements, special early retirement windows, lump sum payments, certain and continuous payments, supplemental executive plans. Benefit communication features available.
User support: Onsite training, telephone assistance.
Staff: 200 total, 70 professionals.
Contact: Kurt Fichthorn, executive vp.
Health Management
Technologies Inc.
1150 Moraga Way, Suite 150, Moraga, Calif. 94556; 510-631-6750;
fax: 510-631-6789
Benefit systems since: 1988.
Parent: Systems Communications Inc.
Software systems:
*Return for Managed Care.
Price: $30,000 to $100,000. Quoted individually.
System requirements: 486 PC; Windows 3.1 or Windows 95 platform; 16MB RAM, 1GB hard disk; VGA video; multiple user; network operating systems supported include Novell Netware and IBM LAN Manager; database management systems supported.
First Installation: 1994.
Total installations: 10 in employee benefit departments.
Benefits managed: Workers comp, disability, leave of absence, group health plans.
Features: Precertification; utilization review; case management; disability duration monitoring; provider contract management; ad hoc report generation; savings from case management, utilization, case outcomes, treatment (type, frequency, provider, site). Options include accounts receivable.
User support: User groups/meetings, onsite training, online support*, telephone assistance 10 hours per day*, newsletter*.
Staff: 15 total, 12 professionals.
Clients: 10 total. Sold systems to eight clients in 1996.
Officers: K.J. Wolfe, president; James Wolfe, chief marketing officer; Eric Wolfe, senior vp-technical services.
Contact: James Wolfe.
**Included in system price.
Hewitt Associates L.L.C.
100 Half Day Road, Lincolnshire,
Ill. 60069; 847-295-5000;
fax: 847-883-9019
Benefit systems since: 1974.
Software systems:
*Integrated Health Information
System (IHIS).
Price quoted individually.
System requirements: Pentium PC; DOS, Windows 3.1 or Windows 95 platform; 16MB RAM, 1GB hard disk; VGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported include Oracle.
Online system.
Customized system.
First Installation: 1993.
Total installations: 50 in employee benefit departments.
Benefits managed: Flexible benefits, workers comp, disability, group health plans.
Features: Enrollment and eligibility analysis, vendor analysis and management of claims payment performance, network provider analysis and performance profiling, chronic illness analysis and performance monitoring, lifestyle and preventable illness analysis, flexible benefit plan pre- and post-election analysis, total episode of disability analysis, comparative analysis of health care experience and disability experience, online ad hoc reporting capabilities. Options include condition-based episoding by claimant, disability analysis, workers compensation.
*Pension Administrator.
Price quoted individually.
System requirements: 486 PC; DOS or Windows 3.1 platform; 4MB RAM; VGA video; single or multiple user; network operating systems supported include Novell Netware and Banyan VINES; database management systems supported.
Online system.
Customized system.
First Installation: 1986.
Total installations: 160 in employee benefit departments.
Benefits managed: Retirement/pensions, social security benefits.
Features: Calculates various pension benefits; manages and maintains a comprehensive employee database; uses participant and plan data to calculate various retirement, disability, termination and death benefits; determines plan eligibilities and calculates actual benefits for future termination dates; optional forms of payment may be displayed; provides online or batch processing and producing benefit statements; estimates social security benefits based on input earnings; monitors IRS code Section 415 benefit limits. Benefit communication features include report writer; customized statements, letters, listings and worksheets; voice response system for accrued and projected retirement benefit estimates; access to account representatives at Hewitt Associates Benefits Center.
*Total Benefits Administration
(TBA) System.
System requirements: 486 PC; OS/2 platform; 16MB RAM, 250MB hard disk (standalone); SVGA video; single or multiple user; network operating systems supported include Novell Netware; database management systems supported.
Online system.
Customized system.
First Installation: 1992.
Total installations: 55 in employee benefit departments.
Benefits managed: 401(k) plans, flexible benefits, disability, leave of absence, COBRA, group health plans, profit sharing, life insurance, retirement/pensions, social security benefits.
Features: Integrated benefits administration and delivery system supporting defined contribution services, defined benefit administration and health and group benefit programs. Benefit communication features include telephone voice response system, access to account representatives at Hewitt Associates Benefits Center on an interactive computer link that allows modeling and performance transactions via kiosk.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance eight hours per day*, software update training and installation*.
Staff: 2,018 total, 437 professionals.
Clients: 597 total. Sold systems to 20 clients in 1996.
1996 revenues: $568 million total. $227 million from employee benefit information systems sales and services, 100% software sales.
Officers: Dale L. Gifford, CEO; James J. Rushin, director-business development; Gerald I. Wilson, chairman-executive committee; Christine A. Seltz, director-public relations; Thomas L. Schmitz, director-Total Benefits Administration.
Contact: Integrated Health Information System: James Connor. Pension Administrator: Larry Garifo. Total Benefits Administration: Brad Anderson.
**Included in system price.
Human Resource MicroSystems
160 Sansome St., Suite 1050,
San Francisco, Calif. 94104; 415-362-8400;
fax: 415-362-8595
Benefit systems since: 1984.
Software systems:
*HRIS-Pro.
Price: $25,000. Quoted individually.
System requirements: Pentium PC; Windows 95 platform; 16MB RAM, 200MB hard disk; multiple user; network operating systems supported include Novell Netware, Banyan VINES and Windows NT; database management systems supported include XBASE.
Internet/intranet access.
Customization optional.
First Installation: 1984.
Total installations: 500 in employee benefit departments.
Benefits managed: 401(k) plans, flexible benefits, workers compensation, disability, leave of absence, COBRA, group health plans, profit sharing, life insurance, retirement/pensions, social security benefits.
Features: Enrollment, eligibility verification; tracks employee contribution, employer premium and dependent coverage. Benefit communication features include benefit statements.
User support: User groups/meetings, onsite training, online support, telephone assistance eight hours per day.
Staff: 25 total, all professionals.
Clients: 500 total.
Officers: Don Helt, president.
Contact: Leonard Mayo, national accounts manager.
Human Resources Consulting Group Inc. (HRCG)
1202 E. Dover Drive, Provo, Utah 84604; 801-765-4417; fax: 801-765-4418
Benefit systems since: 1983.
Software systems:
*Flexcomp.
Price: $5,000. Quoted individually.
System requirements: 386 PC; DOS platform; 1MB RAM; Mono video; multiple user; network operating systems supported include Novell Netware and IBM LAN Manager.
Online system.
Customization optional.
First Installation: 1986.
Benefits managed: 401(k) plans, flexible benefits, leave of absence, COBRA.
Features: Enrollment, database of employee information, benefit explanations, FSA claims adjudication, insurance carrier check cutting, discrimination testing, report generation. Benefit communication features include computer terminals. Optional modules available.
*Voice Response.
Price: $10,000 minimum. Quoted individually.
System requirements: 486 PC; OS/2 platform; 8MB RAM; Mono video; multiple user; network operating systems supported include Novell Netware.
Online system.
Customization optional.
First Installation: 1989.
Benefits managed: 401(k) plans, flexible benefits, leave of absence, COBRA, life insurance, retirement/pensions.
Features: Enrollment, eligibility verification. Benefit communication features include phone service. Optional modules available.
User support: User groups/meetings, onsite training, telephone assistance 10 hours per day*.
Staff: 25 total, all professionals.
Clients: 600 total.
Officers: Rob Thurston, senior vp; Richard Packham, vp.
Contact: Rob Thurston.
**Included in system price.