For Insurers and Employers

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Responsive

Automated with high precision

Our extended healthcare solution offers straightforward and accurate claims input and processing.

Automated with high precision

A platform that can evolve

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.

A platform that can evolve

Easy integration

Our extended healthcare solution helps to streamline claims submission and eliminate duplicate data entry by integrating easily with health professionals’ practice management software.

Easy integration

Efficient

A single platform for multiple claims

Ability to handle multiple claims submissions (dental, extended healthcare, drug claims and member claims) using a single platform

A single platform for multiple claims

Paper claims management

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

Paper claims management

We're with you all the way

Access to a specialized team of experts with years of experience with Claims management

We're with you all the way

Effective

Cost savings

Cost savings in operational expenditures resulting from reductions in the handling of paper claims and call centre support usage

Cost savings

Satisfied plan members

Greater plan member satisfaction from instant responses at point-of-care, reduction in reimbursement lag times and lowered out-of-pocket expenses

Satisfied plan members

Web-based reporting tools

Complete web-based reporting tools allow insurers to execute all requests, from claims status and history to parameters on a plan sponsor’s benefit plan. Remote access enables carriers to view important information from one location.

Web-based reporting tools

How it works

TELUS Health’s EHC solution provides insurers with a cost-effective, efficient and easy way to manage claims. Claims are automatically processed at the point-of-care and adjudicated in real time by either the insurers or by TELUS on behalf of insurers. For insurers, TELUS EHC offers flexible claims solutions ranging from transport to adjudication for EDI and paper claims.

TELUS Extended Healthcare Claims (EHC) offers:


  • EHC Claims Exchange (eClaims): Perfect for insurers who have adjudication in place, this solution allows the transport of claims between providers and insurers. In some cases, the solution is dispatched and validated by TELUS Health, then sent to the insurer through the reliable TELUS exchange system.
  • EHC Claims Adjudication: For insurers who do not have a system but want to benefit from online claims and TELUS Health expertise, this intelligent platform offers a flexible option easily configured to meet an insurer’s specific needs. TELUS also offers payment to plan member on behalf of insurers, as well as leading quality and anti-fraud controls.
  • Flexible API: The modular TELUS system can evolve with a customer’s needs, and includes free tools and documentation, as well as access to software vendors to enable the integration of the claims submission process with Practice Management Systems.

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