Group Premium Reconciliation demo
Each employer's payment matched to the bill and the enrollment, line by line, with only the real differences left for a person. 1:14
What the demo shows
A billing solution for group carriers that matches employer payments to bill and enrollment.
Six agents read the employer's payment and self-bill spreadsheet, rebuild every employee's coverage from the enrollment files, and set bill, enrollment and payment side by side for each employee. Each employee whose lines differ gets a cause (termination still billed, new hire not billed, salary change, age band, evidence pending, retro termination) and a proposed fix, with the contract's retro limit applied. The billing analyst accepts each fix, watches the variance close to $0 and signs the employer notice.
Transcript
- Group Premium Reconciliation matches each employer's payment to its bill and enrollment.
- By hand it takes days.
- Misterminations surface when a claim is denied.
- Corrigan paid $446 short.
- Agents match all 645 employees.
- 627 agree. Eighteen differ, each with a cause, a late termination, a new hire, a salary change.
- Nadia accepts 16 routine fixes, $560 remain.
- Lucia Ferreira left in June, was reported in October, and the employer took back four months.
- The contract allows two months, August to October credited, July still due.
- She applies it, $420 credited, and the variance closes to zero.
- Built on Botminds: agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.