AI TOOL PROFILE
Certifi: Insurance Premium Billing and Payments Platform
- Finance and Accounting
- Billing and Invoicing
- Insurance Companies
- Health Insurance Exchanges
- Benefits Administrators
- Employers managing retiree populations
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
At a glance
- Best for
- Insurance Companies, Health Insurance Exchanges, Benefits Administrators, Employers managing retiree populations
- Key use cases
- Complex Insurance Billing Automation, Employer Benefits Payment Management, Medicare Prescription Payment Plan (M3P) Compliance, Private Health Exchange Financials
- Official website
- Visit certifi official website
How AI is used
Certifi is a cloud-native platform designed to automate the billing and payment lifecycle for insurance premiums. It is built for entities that handle high-volume, multi-product transactions where matching payments to accounts can be complex.
The software is designed for insurance carriers, state and private health exchanges, and benefits administrators. It supports the creation of consolidated invoices for groups and individuals and manages the delivery of remittance advice to vendors.
Buyers can use the platform to handle various payment methods and manage delinquency through configurable rules. It uses a two-sided transaction structure to tie receivables and payables together in a single transaction set.
Organizations should confirm how the platform integrates with their existing enrollment and payroll data sources, as the system relies on these connections to support automated reconciliation.
Key Features
Consolidated Billing
Generates consolidated invoicing for groups and individuals across multiple carriers and benefit products.
Rules-Based Delinquency Management
Supports the creation of automated collection triggers and configurable notifications based on specific dates or actions.
Multi-Source Payment Processing
Processes payments via EFT, payroll deduction, credit card, and cash.
Payment Portal
Provides a digital interface for members to make one-time payments or set up recurring payment schedules.
AI Payment Matching
Uses artificial intelligence to help match unrecognized payments with accounts.
Consolidated Remittance Delivery
Sends remittance advice to carriers and administrators based on funds actually received.
Use Cases
Complex Insurance Billing Automation
Automating premium billing for multi-product and multi-supplier insurance transactions.
Employer Benefits Payment Management
Integrating with payroll and enrollment data to calculate benefit bills and pay carriers or brokers.
Medicare Prescription Payment Plan (M3P) Compliance
Managing M3P billing calculations, itemized invoicing, and automated late payment notices.
Private Health Exchange Financials
Using a two-sided transaction structure to manage receivables and payables for private exchanges.
FAQ
What does Certifi do?
- Certifi is a platform that automates insurance premium billing and payments for complex transactions involving multiple products and suppliers.
Who can use the Certifi platform?
- It is designed for health insurers, state and private health insurance exchanges, employers, and benefits administrators.
How does Certifi handle payments?
- The platform supports EFT, payroll deduction, credit cards, and cash payments, and provides a portal for recurring and one-time payments.
Does Certifi offer white-labeling?
- Yes, for benefits administrators, the solution can be white-labeled, including Single Sign-On (SSO).
Source category: Finance & Accounting
Source subcategory: Billing & Invoicing
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