Certifi: Insurance Premium Billing and Payments Platform
Certifi helps insurance companies and benefits administrators manage complex billing across multiple products and suppliers. It is designed to help organizations reduce manual reconciliation of receivables and payables.
At a glance
- Category
- Finance & Accounting
- Best for
- 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.
- Key use cases
- Complex Insurance Billing Automation, Employer Benefits Payment Management, Medicare Prescription Payment Plan (M3P) Compliance, Private Health Exchange Financials
- Official website
- certifi.com
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
Generates consolidated invoicing for groups and individuals across multiple carriers and benefit products.
Supports the creation of automated collection triggers and configurable notifications based on specific dates or actions.
Processes payments via EFT, payroll deduction, credit card, and cash.
Provides a digital interface for members to make one-time payments or set up recurring payment schedules.
Uses artificial intelligence to help match unrecognized payments with accounts.
Sends remittance advice to carriers and administrators based on funds actually received.
Use Cases
Automating premium billing for multi-product and multi-supplier insurance transactions.
Integrating with payroll and enrollment data to calculate benefit bills and pay carriers or brokers.
Managing M3P billing calculations, itemized invoicing, and automated late payment notices.
Using a two-sided transaction structure to manage receivables and payables for private exchanges.
Best For
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
FAQ
Certifi is a platform that automates insurance premium billing and payments for complex transactions involving multiple products and suppliers.
It is designed for health insurers, state and private health insurance exchanges, employers, and benefits administrators.
The platform supports EFT, payroll deduction, credit cards, and cash payments, and provides a portal for recurring and one-time payments.
Yes, for benefits administrators, the solution can be white-labeled, including Single Sign-On (SSO).
Source category: Finance & Accounting
Source subcategory: Billing & Invoicing
