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 CALIMS SYSTEMS (PART ONE OF SEVENTEEN)

Reprints

A
AMI Risk Consultants Inc.
11410 N. Kendall Drive, Suite 208,
Miami, Fla. 33176-1031; 305-273-1589;
fax: 305-274-4706Benefit systems since: 1995.
Software systems:
*ClaimSys.
Price: $12,000. Quoted individually.
System requirements: 486 PC; Windows 3.1 platform; 12MB RAM, 30MB hard disk; VGA video; multiple user; network operating systems supported include Novell Netware, IBM LAN Manager and Windows 95/NT; database management systems supported include NT SQL and Microsoft Access.
Internet/intranet access.
Customization optional.
First Installation: 1995.
Total installations: Four in employee benefit departments.
Benefits managed: Workers comp, group health plans, dental, vision.
Features: Full claims file processing and management, integrated notepad, integrated scheduler, mail merge/automatic letters, full financial management and accounting reporting, terminal security, health care utilization reporting, health plan provider contract management and reporting (group health and dental/vision only), disability duration monitoring (workers comp only). Benefit communication features include optional add-on designed to client specifications. Options include computer check generator, policy tracking, litigation management reporting, vocational rehabilitation reporting, workers comp self-insurance reporting.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance eight hours per day*, software upgrades*.
Staff: Eight total, six professionals.
Clients: Two total, all benefit departments. Sold system to one client in 1996.
Officers: Bob Ingco, president; Carie Ingco, vp.
Contact: Bob Ingco.
**Included in system price.
Acclamation Systems Inc.
200 Fleet St., Pittsburgh, Pa. 15220; 412-928-8330; fax: 412-928-8212Benefit systems since: 1991.
Software systems:
*LuminX.
Price quoted individually.
System requirements: Pentium PC; Windows 3.1 and above or UNIX platform; 512MB RAM, 10,000MB hard disk; SVGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported.
Customization optional.
First Installation: 1991.
Total installations: 21 in employee benefit departments.
Benefits managed: Flexible benefits, disability, COBRA, group health plans.
Features: Document imaging, optical character recognition, automated enrollment system, automated batch adjudication, medical coding unbundling, automated verification of benefits, managed care capabilities, full accounting, group administration, billing and reporting system, ad hoc reporting, stop loss tracking/reporting, auditing. Benefit communication features include interactive voice response system and remote access.
User support: User groups/meetings, onsite training*, online support, telephone assistance 24 hours per day.
Staff: 35 total, 20 professionals.
Clients: 21 total. Sold systems to six clients in 1996.
Officers: Joseph C. Ott, president; Susan Pastroff, vp; James Senge, general manager; Mark Brown, vp-sales/marketing.
Contact: Mark Brown.
**Included in system price.
American Technical Services Inc.
28050 U.S. Highway 19 N., Suite 400, Clearwater, Fla. 34621; 800-654-7611;
fax: 813-799-9826
Benefit systems since: 1987.
Software systems:
*ATS/MED.
Price: $35,000 minimum. Quoted individually.
System requirements: 486/66 or Pentium PC; Windows 95, Windows NT or AIX/SCO platform; 16MB RAM, 100MB hard disk; VGA or SVGA video; multiple user; network operating systems supported include Novell Netware, Banyan VINES; database management systems supported include Oracle, Sybase, NT SQL and Informix.
Internet/intranet access.
Customization optional.
First Installation: 1987.
Total installations: Six in employee benefit departments.
Benefits managed: Workers comp, disability, leave of absence, COBRA, group health plans.
Features: Claims administration, eligibility verification, health care utilization review, medical case management, disability duration monitoring, HMO/PPO management, ad hoc analysis and reporting, precertification, dependant coverage and benefit tracking. Benefit communication features include custom module. Options include disability and workers comp modules for 24 hour coverage.
User support: User groups/meetings*, onsite training, online support, telephone assistance 11 hours per day*.
Staff: 16 total, eight professionals.
Clients: Six total. Sold systems to four clients in 1996.
Contact: Cheryll Wing, president or Craig Zivolich, director-technology.
**Included in system price.
Aon Consulting
125 Chubb Ave., Lyndhurst,
N.J. 07071; 201-460-6600;
fax: 201-460-6677Benefit systems since: 1970.
Parent: Aon Corp.
Software systems:
*AlexWare Pension.
Price: $60,000 minimum. Quoted individually.
System requirements: 486 or Pentium PC; Windows 3.1 and above or UNIX platform; 16MB RAM; VGA or SVGA video; single or multiple user; network operating systems supported include Novell Netware, Banyan VINES and IBM Lan Manager; database management systems supported include Oracle, Sybase, NT SQL.
Customization optional.
First Installation: 1995.
Benefits managed: Retirement/pensions.
Features: Calculates individual retirement benefits; projects estimated retirement benefits; calculates a variety of optional forms of payment; provides personal retirement reports, customized benefit quotation letters and explanatory calculation worksheets; ensures compliance with legal/regulatory requirements; calculates benefits for early, normal and postponed retirement, vested terminated, death and disability. Benefit communication features available. Options include interactive voice response, imaging, web enablement, and integration with human resource, payroll and payment systems.
User support: User groups/meetings*, onsite training, online support, telephone assistance 10 hours per day.
Officers: Daniel T. Cox, chairman-Aon Consulting Worldwide Inc.; Donald C. Ingram, chairman-Aon Consulting Inc.
Contact: Olya Broadwell, 404-240-6109.
**Included in system price.
Apex Data Systems.
6464 E. Grant Road, Tucson,
Ariz. 85715; 520-298-1991;
fax: 520-296-7948Benefit systems since: 1974.
Parent: Babcock Financial Group.
Software systems:
*COGNAC*PLUS.
Price quoted individually.
System requirements: 486 or Pentium PC; DOS, Windows or OS/2 platform; 8MB RAM; VGA or SVGA video; single or multiple user; network operating systems supported include Novell Netware and IBM LAN Manager.
Customization optional.
Benefits managed: Disability, COBRA, group health plans, life insurance, accidental death and dismemberment, dental, vision, prescription.
Features: Enrollment, elibibility verification, rating, billing, agent commissions, cash receipting/posting, correspondence, pending/tickler, plan set-up and maintenance, claims data entry, claims adjudication, repetitive payments (disability claims), dual/triple option PPO for health and dental, check writing, check reconciliation. Options include claims system.
User support: Onsite training, online support, telephone assistance eight hours per day*.
Staff: 16 total.
Clients: 30 total.
Officers: Dwight Babcock, president; Cynthia Stewart, vp.
Contact: Cynthia Stewart.
**Included in system price.
Arena Systems Inc.
1247 Milwaukee Ave., Suite 302, Glenview, Ill. 60025; 847-824-6000; fax: 847-824-6329Benefit systems since: 1987.
Software systems:
*Accountable Care.
Price: $60,000 to $100,000. Quoted individually.
System requirements: Pentium PC; Windows 95 or Windows NT platform; 16MB RAM; SVGA video; multiple user; network operating systems supported include Novell Netware; database management systems supported include NT SQL and dBASE.
Customization optional.
First Installation: 1987.
Total installations: 28 in employee benefit departments.
Benefits managed: Group health plans.
Features: Enrollment, elibibility verification, health care precertification, claims management, health care utilization review, medical case management, tracking reinsurance liability, disability duration monitoring/control, health plan provider contract management, ad hoc data analysis, ad hoc report generation, electronic claims processing, provider credentialing, work group management. Benefit communication features include computer terminal dial-up to check enrollment status, benefit terms, benefit utilization levels and remaining coverage. Options include employer and provider dial-up to check enrollment, claims payment status, precertification approval and utilization.
User support: User groups/meetings*, onsite training, online support, telephone assistance 10 hours per day, customized enhancements.
Staff: 11 total, five professionals.
Clients: 25 total, including 10 benefit departments. Sold systems to four clients in 1996.
1996 revenues: $800,000 total. $800,000 from employee benefit information systems sales and services, 50% from software sales, 50% from software services.
Officers: Karl Kaiser, president/CEO.
Contact: Elizabeth Hauck, director-business development.
**Included in system price.
Associated Systems Inc.
1425 N. Broadway, Wichita,
Kan. 67214; 316-263-1035 or 800-524-2327; fax: 316-263-0961
Benefit systems since: 1993.
Software systems:
*Complete Claims.
Price: $42,000. Quoted individually.
System requirements: 486 PC; DOS platform; 4MB RAM; SVGA video; single or multiple user; network operating systems supported include Novell Netware and Windows NT; database management systems supported include dBASE.
Customization optional.
Total installations: 14 in employee benefit departments.
Benefits managed: Disability, COBRA, group health plans.
Features: Processes medical, dental, short-term disability and prescription claims; precertification; coordination of benefits; PPO management; fee schedules and co-payment; reinsurance tracking; laser checks with MICR coding; billing and administration, including individual and group policy administration; interaces to general accounting; ad hoc reporting. Options include total billing and accounting system and interfaces with other benefit systems.
User support: User groups/meetings*, onsite training*, online support*, telephone assistance 10 hours per day*.
Staff: 10 total, all professionals.
Clients: 14 total.
1996 revenues: $1 million total. $300,000 from employee benefit information systems sales and services, 60% from software sales, 40% from software services.
Officers: Frank Smith, president; Randy Conyers, director-research/development; Chuck Prickett, director-communication systems.
Contact: Frank Smith.
**Included in system price.