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Flex
Spending Accounts
Flex Processing and Accounting (FPA) allows health plans
and payors to integrate flexible spending arrangements and Section 125
Plans within a central claims administration framework. Accommodating both
manual entry and fully automated claims processing and payment, there are
a variety of work flow options to choose from. The FPA module is an add-on
module to the CAPS processing platform and is fully integrates all of the
key operational components including membership, plan set-up, claims
entry, adjudication and payment.
Functional Processes
- Manages medical reimbursement, dependant care and premium
reimbursement with additional capabilities for up to 6 optional accounts
- Utilizes both assumption method and direct method for account deposits
- Tracks all deposits and payments for complete audit trails
- Ability to draw from the medical reimbursement account for
deductibles, co-payments and other non-covered benefits automatically
during the claims process based on set-up and individual employee
election
- Automatic funding option through EFT directly to employee account
- A variety of election options which allow for the tailoring of the
payment process by individual employee. Payments can be made directly to
provider of service or to the employee
- Handles all pay period cycles
- Allows for the establishment of specific flex benefit types within the
framework of the benefit program, or use of the existing benefit codes
set-up within the plan
Key Features
- Full or partial integration within one common payment process
- Members elect method of payments
- Conformance to IRS regulation
- Ability to provide electronic funds transfer
- Supports manual filing of claims
- Customized electronic updates available
- Ability to expand to MSA for multi-year roll over
Reporting
- Employee election
- Used versus available by type/employee
- Deposits/payments summary and detail
- Claims payment summary/detail
Implementation
- AMRHEALTH provides a complete training and
implementation offering for converting old plans or setting up new plans
- FPA is only available as an add-on module to CAPS
Available in ASP or enterprise license deployment
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