Reliability

Electronic processing of claims increases accuracy and offers the opportunity for custom analytical and statistical reporting.

Automated solutions

Automated, high-precision solutions that offer simple, straightforward claims input and accurate patient claims processing

Automated solutions

Fully compliant

Compliant with strict security and privacy guidelines at both federal and provincial levels

Fully compliant

With you all the way

Access to a specialized team of experts with years of experience in claims management

With you all the way

Cost-Effectiveness

Encourages optimal use of internal resources by reducing costs associated to claims operations and administration and by providing a paperless, eco-friendly solution.

Advanced capabilities

Advanced data-mining capabilities to help insurers provide better cost-containment strategies for their plan sponsors

Advanced capabilities

Real-time adjudication

Efficient adjudication process that allows providers to submit claims and receive a response in real-time

Real-time adjudication

Cost savings

Cost savings in operational expenditures result from reductions in paper claims handling and call centre support usage

Cost savings

Flexibility

Both integrated and modular, TELUS Health’s claims and benefits management solutions range from simple claim exchange through to full adjudication for insurers.

Customized solution

A state-of-the-art platform, designed to be modular, interactive and flexible so it can evolve with customers’ needs – after deployment the model can be easily adjusted along the way

Customized solution

Outsourced paper claims management

Outsourced paper claims management managed by the customer or TELUS, in whole or in part

Outsourced paper claims management

Plan member satisfaction

Greater plan member satisfaction by providing pre-determinations and adjudication responses at point-of-service, cutting reimbursement lag times and out-of-pocket expenses

Plan member satisfaction

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