Guide to Different Kinds of Healthcare Softwares
The importance of healthcare software has increased manifold after the Patient Protection and
Affordable Care Act has come into enforcement. Different healthcare softwares are being developed day
after day to facilitate the changes that the healthcare reforms will usher in. The healthcare insurance
softwares available currently are quite flexible and can be customized to meet the needs of health
insurance companies and insurance carriers and other Third Party Administrators.
Individual insurance softwares facilitate the working of a wide range of life insurance products. These
softwares provide end-to-end solutions at every step when a customer is purchasing health plans from
an online portal. These include technical support for underwriting, processing, policy services, billing,
management, advances and commissions, accounting and the likes. Individual insurance softwares
cater to those online portals that offer individual and family health plans.
For those portals that specifically offer insurance to small firms looking to provide group coverage to
their employees, there are different softwares to take care of their needs. Known as Group health
administration softwares, these aid in enrollment, billing, accounting, management, commissions,
claims processing, fee schedules, extensive reporting, audits, etc. Group insurance softwares are
primarily used by group insurers, Third Party Administrators, multi-employers trusts and self-
There is also the Workers Compensation insurance softwares that for carriers, self-insurance trusts and
Third Party Administrators. These healthcare softwares help in generating and comparing quotes, issue
policies, take care of billing, accounts agents’ commissions and fees, processing insurance claims, audits
Healthcare softwares make it easier for carriers to administrate health insurance portals. These
softwares provide the backend to build an end to end online portal. These softwares can also be
classified on the basis of the work they do. Some of them are:
Automation software: this is the most basic insurance software. It helps in the storage of all
types of data including the details of the plans available on the portal, the people logging in, the
details of the customers and the likes.
Get Quotes: One of the major advantages of purchasing coverage is that the quotes are
generated automatically. This is done with the help of ‘get quotes’ softwares that suggest a few
plans for the customers on the basis of the details they have entered.
Quote Comparison Engine is an important software needed on an online health insurance
portal. This engine enables comparison of quotes across companies and carriers and helps
customers to choose the most suitable medical policy.
Healthcare softwares do not do all the work for the insurance carriers but reduce the load considerably.
While insurance still have to maintain a personal interaction to ensure customer satisfaction, healthcare
softwares help in simplifying the process.
Shaun Mike is well known authority on health insurance in the US. He is currently looking to expand his
expertise to health insurance and other healthcare software available.