Health Insurance Exchange (HIX)
Payment Administration Solution
Introduction – FIS Benefit Solutions
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FIS Benefit Solutions is one of the largest,
most scalable platform provider of software,
services, and card-based technologies for
healthcare payments
•
The Company has long been viewed as a
pioneer in the healthcare payments sector with
a suite of solutions that offer substantial value
in the areas of:
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Company Facts
• Division of FIS Global
• FIS has signed an agreement to sell the division to
Lightyear Capital; expected to close at the end of
3Q2012
• 150+ FTEs
• Diverse base of over 530 customers across the
payer, provider, financial, and TPA sectors
Benefits Administration
Payment Processing
Multi-Functional Multi-Purse Cards
Payment Output Solutions `
Benefit Solutions
Industry Leadership and Scale
Market Leadership
• #1 CDH technology provider
• #2 Outsourced post adjudication payment processor
• #2 Health ID card provider
Operational Statistics
• $5B+ CDH transactions
Highly Scalable
Single-Source
Platform
• 525M+ healthcare transactions processed
• 8M issued healthcare payment cards
• 1.3M healthcare benefits administration accounts
• 500K+ HSA accounts on the banking platform
• 100M Health ID cards carried in wallets
Business Model Attributes
• Extremely reliable and efficient platform
• Highly scalable
• Unparalleled accuracy and speed
• Secure administration and payment technology
Product and Services Overview
Benefit Solutions
A comprehensive suite of benefits administration software
that is tightly coupled with industry leading card and
payments technology
•
FIS offers products and services in the
following broad categories:
a. Health benefits administration
i. Tax-advantaged health
benefits
b. Payment processing solutions
c. Payment output solutions
d. Health ID and multi-purse cards
•
These solutions are utilized by industry
participants in the following end
markets:
− TPAs
− Commercial health insurers
− Financial institutions
− Healthcare providers
− Consumers
− Employers
Our Focus - Payment Administration
HIX Functional Attributes
• Consumer Engagement / Decision Support
• CRM / System of Record
• Call Center
• Benefits Aggregation
• Integration
• Payment Administration
• Enrollment file
• Premium invoice
• Premium invoicing file
• Invoice presentment -print
& online
• In house print facility
BenSoft
• Consolidated remittance file
Remit
Manager
DMS
• Online payment acceptance
• Reconcile participant / employer
receivable
• Reconcile payer liability
• Distribute funds to payers
BillPointe
• Physical payment
collection, deposit &
processing
• Online payment remittance file
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Thank you…..
Please feel free to contact me if you would like to learn more
Bill Barbato
Strategy & Product Management – FIS Global
Bill.Barbato@FISGlobal.com
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