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| Cover/Product
Database |
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| Customised
products support Health Fund business requirements |
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Paragon21 coverage/product database defines the benefit limits and methods of administration for all of the Health Fund products. The system supports individual and dependent, medical, dental, pharmaceutical, optical and any other coverage that may be unique to the Health Fund business.
By maintaining control of administration rules for each benefit and product, you create (without program modifications) the Health Fund’s own product structures and tables.
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| Significant Strengths |
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Supports multiple effective dates and termination dates coverage.
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Maintains and controls coverage descriptions at the group, account or individual level.
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Provides member-defined coverage descriptions that are in everyday language, to significantly lower the learning curve for new staff.
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Supports coverage rates by plan, geographic area (State), age, marital status, corporate subsidy, coverage option and other user-defined functions such as students.
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Maintains historical tracking of changes to member cover (single to family, cover changes and additions) that has occurred through the membership.
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Accommodates premium discounts, corporate subsidies and rebates.
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The Product Listing screen provides a list of all the products in the system. When selecting the cover for an individual, the Product Listing screen provides the ability to select the various products that make up an individual’s cover. |
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