Aggregated Insurance Carrier Billing & Reconciliation


BenefitReady® allows our clients to have control of their eligibility and billing to ensure complete synchronization. "Self-Billing" is now available for all lines of coverage with the fully integrated and real-time aggregated insurance carrier billing service offered by OutsourceOne benefits administration. This service encompasses all benefit Plans and Plan types including medical, dental, vision, life/AD&D, disability, FSA, EAP, voluntary benefits, and other programs.

The aggregated bill generates using the exact same data that is used to produce the eligibility EDI feeds to carriers. It shows all populations of employees such as Actives, COBRA participants, and Retirees. Any adjustments and retroactive activity are automatically captured, calculated, and displayed. Subtotals by cost center, adjustments, and roll-up grand totals just became automated! Our clients cut a single check, and OS1 performs all of the carrier and vendor payments with appropriate, required back-up reporting.

Features At A Glance
  • Client Cuts One Check - OS1 disburses appropriate payment with back-up to each vendor, this simplifies the monthly process for Clients and reduces Accounts Payable work too.
  • Billing & Eligibility Integration - Carriers receive weekly EDI data feeds with full eligibility to keep their systems in synch with BenefitReady®.
  • Auto-Reconciliation - Auto-Reconciliation is performed as the system tracks and reports retro debit and credit adjustments to premium based on eligibility changes made in each monthly billing cycle.
  • COBRA/Retiree Status - Integration of plan participants with COBRA and Retiree status is fully automated.
  • Custom Bill Layout - Each client's bill is configured to their liking. They can be sub-totaled by department, cost center, location or other data element. Column order, sorting preference, and other design criteria are built by the OS1 team just the way you want it.
  • Full Service - The system is fully configured by our team with all of your Plan types, rate & contribution schedules, eligibility rules, and contribution splits. Renewal preparations, acquisitions, and other major changes are also managed by your OS1 team. You don't have to do any system configuration or Plan updates.