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United Healthcares Online Solutions Hartwig Moss

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eSolutions Simpler, Easier, Better ® UnitedHealthcare’s “Online Solutions for Employers and Members”
Transcript
Page 1: United Healthcares Online Solutions  Hartwig Moss

eSolutionsSimpler, Easier, Better®

UnitedHealthcare’s “Online Solutions for Employers and Members”

Page 2: United Healthcares Online Solutions  Hartwig Moss

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Agenda

• Employer eServices (Employer)• UnitedHealthcare Benefit Services’ (Employer)• myuhc.com (member)

Leveraging technology to change the face of health care

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Leveraging technology to change the face of health care

Employer eServices®

Simply easier ways to administer benefits efficiently

Who uses the Employer eservices Web Site?• Group administrators and their designees• Brokers

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Employer eServices Home Page

AddTerminateReinstateChangeInquireElectronic File

Order ID Cards

View Claims

Account SummaryPayment HistoryChange Payment Method

Financial Reportsand Analysis

View BankingReports Online

Manage accessto EeS

Tools Links and information

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Paper Enrollment

Eligibility Options for all Employers

• Employees give enrollment election form to Employer

• Employer faxes or mails paper form

• Legible issues / missing data

• 5% return rate – creates delays in accessing health care system

• 98% accuracy keying rate

• 2% error ratio. More delays…

Least desirable. Most error prone. Excessive delays.

Web-Based Eligibility Updates

• Customer keys eligibility changes into system in real-time

• Ideal for customers whose HR system lacks the ability to produce an electronic eligibility file

• Adds, terms, changes are reflected immediately in UnitedHealth Group systems

Ideal for urgent or lower volume eligibility

transactions

Real-time24 – 48 Hours

Solutions for facilitating employees’ benefit enrollment process

Manual Self-Service

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Electronic Bill Presentment and Payment

Account Summary • View account balance• View current outstanding invoices• View closed invoices• View invoice details • View payment history• Print bill at customer site

On-line Payment • Scheduled direct debit• Pay invoices online• Request Adjustment Invoice

Email Notification • New User Registration• Invoice ready for view and payment• Request adjustment invoice• Pre and post termination

eServices Bill Presentment and Payment

Eligibility Processing

Eligibility Processing

InvoiceDistribution

InvoiceDistribution

Payment Processing

Payment Processing

ElectronicEmployer PortalOnlinEnrollElec Elig Mgmt

ElectronicOnline BillingView InvoiceAdjustments

ElectronicOnline BillingPay on-lineDirect Debit

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Communication tools

Communication Resource Center (CRC)

• Health and wellness articles & e-mail content

• Downloadable communication templates, toolkits, brochures, fliers, check stuffers, and posters

• Customized newsletters using the “Build a Custom Newsletter” capability

• Workplace wellness template work plans

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UnitedHealthcare Benefit ServicesUnitedHealthcare Benefit Services Bundled Value Services:Bundled Value Services: COBRA, FSA, PTPCOBRA, FSA, PTP

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10COBRA

For UHC medical clients with 20-99 eligible employees, UBS will handle COBRA administration at no cost for all eligible plans –

even those with other vendors

We will service all your COBRA needs with assured compliance and efficient record keeping

Simplified administration for Employers• Federal COBRA Administration

• Pre-Tax Premium Administration (PTP)

• Flexible Spending Accounts (FSA)

• Single provider allows one-stop shopping

• Ease of administration

• Limited employer liability

• Reduction of payroll-related taxes

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Leveraging technology to change the face of health care

myuhc.com®

Simply easier access to helpful information and support for your employees

April 9, 2009: UnitedHealth Group Earns Six 2008 World Wide Web Health Awards for Superior Online Content .

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<YOU><Your Name>

• Compare physicians and hospitals, including quality and efficiency designations • See the cost of different prescription

choices • Consider mail order for additional savings

• Understand costs across treatment options

• Review health care activity, account balances and claims

Personalized, Relevant Online Data Promotes Engagement and Activation

Better health decisions supported @myuhc.com

Member enrollment on our consumer Web site increased 14 points in 2008 to 64%.

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Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.

Explore the Health & Wellness Homepage

Online Health Assessment

Online Health Coach

Personalized articles

Personalized clinical content

Trackers, Tools

Personal Health Record

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Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.

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Health Discount Program

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Healthy Pregnancy Program

Enhanced website: www.healthy-pregnancy.com

Award-winning online pregnancy owner’s manual: http://mypregnancymanual.com/uhc

No cost to members

Identification of special needs or risks

24-hour toll-free access to experienced OB nurses

Participants receive:

Mom(me) kit Breastfeeding DVD Journey Through

Pregnancy book Breast pump discount

Healthy Pregnancy Program

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New enhanced Treatment Cost Estimator

An enhanced Treatment Cost Estimator was deployed to myuhc.com on June 30th. This tool provides personalized, comprehensive cost estimates to assist  consumers in understanding the expenses associated with their treatment options.

Search/Select Treatments Search/Select Physicians View EstimatesSelect Member & Location

Previous TCE Tool Redesigned TCE Tool

Estimates incorporate the individual member’s deductible & OOPM accumulators

Estimates will be based on member’s own benefit plan (deductible, OOPM accumulators, co-payments, co-insurance, etc.)

Estimates are based on cross-payer geographical median claim amounts.

Estimates will be based on United Healthcare contracted rates for providers’ professional services.

Facility assumptions are incorporated in calculations

Estimates are provided by facility type to show cost differences and opportunities for savings.

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Health Care Transparency

“Wonder how much this procedure will cost; would like to start planning and budgeting now”

myuhc.com®

Treatment Cost Estimator

Members Physicians

“Wonder if she’s covered for the procedure and what our reimbursement will be”

UnitedHealthcareOnline.com®

Claim Estimator

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Health Care Simplicity

Simplicity…is having a single integrated health care statement

One comprehensive statement provides detailed content on account balances and claim activity.

A statement summarizes Explanation of Benefit information to help consumers get a clearer picture of their overall health care spending.

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Try the Web sites for yourself…

Interactive SessionDownload Demos to your Desktop

WelcometoEmployereServices.comWelcometouhcservices.com

Welcometomyuhc.com

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UnitedHealthcare…radically changing health care

Thank you for your time!


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