Leaders in World-Class Benefit Management Join Forces to Help Healthcare Insurers Implement ‘Essential Health Benefits’
MEQUON WI, 2014 – Scion Dental and Wonderbox Technologies, two world-class leaders in dental and vision benefit administrative solutions, have joined forces to make their unsurpassed claims management and benefit administration technology tools available to healthcare insurers who are mandated to integrate the new Essential Health Benefits (“EHB”) into their healthcare policies. The EHB program, a requirement of the Affordable Care Act (“ACA”), requires insurers to integrate dental and vision benefits into small group and individual healthcare policies for dependent children and special needs adults.
Moving forward, this new requirement translates into significant data integration efforts for healthcare insurers. Now, they must incorporate dental and vision patient out-of-pocket charges into primary health plans and have the ability to accurately track and report deductibles as well as maximums. To complicate matters further, many new health plans include different co-insurance levels for subscribers and spouses versus dependents, posing further intricacy as it relates to data integration.
Compliance with this aspect of the EHB requirement forces benefit administrators to become experts at data integration. And the reality is that most legacy software systems being used by healthcare insurers today are not capable of handling the increased level of programming complexity required to administer the new multi-tiered benefit plans.
“As the ACA evolves with new mandates such as Essential Health Benefits, insurers are faced with implementation challenges that may stress their problem-solving resources,” stated Craig Kasten, Board Chairman of Scion Dental and Wonderbox Technologies. “To meet this need, we have designed an industry-leading, dual service offering. Through Scion Dental’s benefit management capabilities, combined with Wonderbox Technologies’ benefit software solutions, insurers will achieve full data integration compliant with the EHB requirements.”
To manage the implementation of the EHB program successfully, insurers look to partners like Scion Dental and Wonderbox Technologies. Licensed as a third party administrator in all fifty states, Scion Dental is a distinguished leader in dental benefit management with 20 years of experience administering comprehensive dental plans. The organization’s proven workflows, dedicated teams and stellar technology enable dental payers to improve process efficiencies, achieve compliance and dramatically reduce the cost of delivering dental benefits.
Scion Dental’s sister company, Wonderbox Technologies, is a next-generation software development leader in specialty benefits. The organization has set the industry standard through proactive development of its ability to administer insurer’s benefit plans with differing co-insurance levels among subscribers and dependents under one policy. The software platform that makes it all possible is Wonderbox Technologies’ Enterprise System featuring an integrated, relational database that is fully customizable, highly flexible and quickly adaptable.
“The Enterprise System has been built from the ground up to support the administration of dental and vision benefits,” stated Kasten. “Our internet architecture gives us the ability to rapidly adapt to changing business requirements, making us the perfect partner for insurers who are investigating solutions to technical implementation challenges related to ACA mandates.”
Healthcare insurers looking for smart solutions to integrate the new EHB requirements can look to Scion Dental and Wonderbox Technologies. For more information, visit our websites at sciondental.com or wonderboxtech.com. To speak with a sales professional, click on “Contact Us” and provide your contact information.
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