Overflow Management Delegation - be ys Outsourcing Services

Overflow management delegation

Back and front office - third-party payment and non-third-party payment

Accueil > Overflow Management Delegation

Delegating the management of health and welfare benefits requires a high level of service quality to increase the satisfaction of policyholders, insured individuals, and healthcare professionals. As a leader in solutions for managing and processing sensitive data, be ys outsourcing services develops strategic pillars to serve your organization and meet the diverse demands of policyholders, members, and healthcare professionals with the sole objective of increasing their satisfaction.

Healthcare & Welfare Benefits Management (Back Office)

A major challenge requiring high service quality to increase the satisfaction of members, insured individuals, and healthcare professionals.

TYPES OF OPERATIONAL PROCESSING

Data entry for requests for coverage, reimbursement requests, and quotes from members, insured individuals, or healthcare professionals.
Analysis and processing of complaints from members or insured individuals and follow-ups with healthcare professionals (reminder letters, payment demands, pre-litigation notices, and litigation).
Control and data entry of membership forms, updates, or modifications to records.
Monitoring of premium payments and follow-up on unpaid premiums.

Management of Member and Insured Relations (Front Office)

A major challenge for maintaining and developing the network of healthcare professionals and improving the satisfaction of members or insured individuals.

TYPES OF OPERATIONAL PROCESSING

Handling inquiries from members, insured individuals, or healthcare professionals:

Multi-channel
Various types of requests: information on rights and benefits, reimbursements, request or cancellation of coverage
Using be ys outsourcing services tools and/or client tools (application solutions, telephony, CRM, etc.)
Monitoring pick-up indicators (quality of service, waiting time, etc.), processing compliance, and member/insured/professional satisfaction
Maintaining and developing the healthcare professional network and improving the satisfaction of members or insured individuals

KYC (Know Your Customer) processing

Towards Health 2.0 – Transform and simplify the creation of beneficiary files, with the implementation of a secure platform for document verification and authentication.

TYPES OF OPERATIONAL PROCESSING

Automatic and manual verification of membership files
Recovery of client supporting documents on our KYC tool (identity document, proof of address, health insurance card, supplementary health insurance card)
Completeness and control of the member’s identity and file documents
Verification of consistency of different file documents
Creation of the beneficiary’s file

Discover also the identity verification solution ID-KNOW from our digital trust expert be ys trusted solutions.

Dematerialization of healthcare invoices

Today, we are witnessing a significant transformation in the context in which insurance and mutual insurance companies operate. These upheavals call for them to transform in order to address two major challenges: the increasing integration of digital technology within healthcare organizations and the overhaul of the healthcare journey. All this while respecting regulatory changes and security constraints related to the protection of sensitive data.

TYPES OF OPERATIONAL PROCESSING

A modular solution tailored to our clients’ specifications
Receiving and integrating invoice streams
Analysis and control of received documents
Dematerialization of invoices
Transforming paper flow into electronic format
Integration of electronic flow (B2 CP format, Noemie 687, etc.) into the client’s information system for liquidation

THE CHALLENGES

Some figures about byos

ANNUEL PROCESSING VOLUME
More than 10 million tasks

SERVICE QUALITY
98,5%

NUMBER OF HEALTHCARE PROFESSIONALS
250 000

NUMBER OF PROTECTED INDIVIDUALS
20 million

About

Our solutions

Your sector of activity

Healthcare & Welfare Benefits Management (Back Office)

TYPES OF OPERATIONAL PROCESSING

Management of Member and Insured Relations (Front Office)

TYPES OF OPERATIONAL PROCESSING

KYC (Know Your Customer) processing

TYPES OF OPERATIONAL PROCESSING

Dematerialization of healthcare invoices

TYPES OF OPERATIONAL PROCESSING

THE CHALLENGES

Some figures about byos

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