AI TOOL PROFILE
AdminaHealth: Employee Benefits Billing and Reconciliation
- Operations
- Billing and Invoicing
- Small businesses
- Mid-market companies
- Enterprise companies
- Benefits brokers
- Third Party Administrators (TPAs)
Pricing
AdminaHealth uses a per-employee-per-month (PEPM) pricing model. Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
At a glance
- Best for
- Small businesses, Mid-market companies, Enterprise companies, Benefits brokers, Third Party Administrators (TPAs)
- Key use cases
- Consolidating Multi-Carrier Bills, Auditing Benefit Premium Leakage, Multi-Location Cost Allocation, Broker and TPA Billing Services
- Integrations
- EDI, XML, CSV, API
- Official website
- Visit adminahealth official website
How AI is used
AdminaHealth is a cloud-based billing suite designed for the administration of group employee benefits. The platform uses AI-based algorithms and a rules-based architecture to support the reconciliation of invoices and payroll data, which may help identify billing errors such as overpayments for terminated employees.
It is designed for users including HR professionals, benefits brokers, TPAs, and insurance carriers. The software supports various billing types and coverage options for small, medium, and enterprise-level organizations, including those with multi-entity structures such as school districts or franchises.
Users can consolidate bills from multiple vendors into a single invoice and manage electronic payments to service providers. The platform has adopted the NIST Cybersecurity Framework and is HITRUST CSF Certified.
Buyers should confirm how the platform integrates with their specific enrollment and payroll systems to ensure the data ingestion meets their requirements.
Key Features
Bill Consolidation
Creates a single bill summarizing all benefits for every vendor and employee.
Invoice Reconciliation
Matches carrier invoices against enrollment data to verify payment accuracy.
Payroll Reconciliation
Compares benefit billing data against payroll deductions to find discrepancies.
Multi-Entity Billing
Supports the allocation of benefit costs across different locations, departments, and divisions.
Service Provider Payments
Supports electronic payments to carriers and vendors.
AI-Based Algorithms
Uses automation to help identify billing exceptions and data mismatches.
Use Cases
Consolidating Multi-Carrier Bills
Combining invoices from various insurance vendors into one reconciled statement.
Auditing Benefit Premium Leakage
Using automated reconciliation to identify overpayments for terminated employees or incorrect premium rates.
Multi-Location Cost Allocation
Allocating a percentage of the monthly benefit premium bill to specific departments or divisions for chargebacks.
Broker and TPA Billing Services
Helping brokers and TPAs provide billing management and payment services to their clients.
Integrations
- EDI
- XML
- CSV
- API
FAQ
What does AdminaHealth do?
- AdminaHealth supports the reconciliation of benefit invoices and payroll data, consolidates bills from multiple carriers, and manages electronic payments to vendors.
Who is this software designed for?
- It is designed for HR professionals, benefits brokers, insurance carriers, TPAs, and business partners such as PEOs and HCMs.
How does AdminaHealth handle data security?
- The platform has adopted the NIST Cybersecurity Framework and is HITRUST CSF Certified.
How is AdminaHealth priced?
- The software is offered using a per-employee-per-month (PEPM) pricing model.
Source category: Operations
Source subcategory: Billing & Invoicing
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