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Healthcare Solution by ColdSpark

For email automation of Paperless Explanation of Benefits, Statements and Billing Notifications

ColdSpark, a BakBone Software company, introduced their latest e-mail automation solution for the healthcare industry. ColdSpark’s new Paperless Explanation of Benefits and Statement and Billing Notifications solution allows healthcare payors and providers to leverage e-mail as a powerful channel to reduce print, postage and personnel costs while increasing the timeliness and effectiveness of customer loyalty and communication programs. In the face of increasingly complex technology infrastructures, green initiatives and IT budget cutbacks, ColdSpark’s solution allows organizations to leverage their messaging infrastructures to drive paperless communications while meeting industry compliance standards.

Major Healthcare Network
to Reduce Print and Postage by 20 Percent

A major state-based healthcare network recently purchased ColdSpark’s Paperless Explanation of Benefits and Statement and Billing Notification solution with the goal of reducing traditional print and mail notifications by 20%. With current printed notifications currently approaching nearly 3 million annually, their first year savings objective with ColdSpark’s solution is close to $0.5 million, and if this is achieved, the organization could attain a full return on their investment in under 12 months. In addition, the organization plans to leverage this solution to increase and monitor their online presence via better customer loyalty programs, proactive customer marketing and retention programs, and more timely e-mail notifications while maintaining their HIPAA compliance requirements. ColdSpark’s solution also integrates seamlessly with their existing print-based workflow, allowing notifications that can not be confirmed and retained online to be entered into the next print run.

Meeting HIPAA Compliance for Explanation of Benefits, Billing and Account Statements
As part of subscriber relationship and HIPAA compliance, healthcare payors, such as the customer above, are responsible for notifying subscribers of their determined benefits in an explanation of benefits (EoB) within 30 days of submission of the request. Today, healthcare organizations deliver subscriber EoBs, along with account statements and billing information, through traditional print and mail channels. This process has associated costs in both materials and personnel that could be eliminated if a secure, compliant electronic delivery channel could be deployed. ColdSpark’s technology fills that niche.

Paperless Explanation of Benefits and Statement and Billing Notifications solution allows healthcare payor and provider organizations to leverage e-mail infrastructures or distribution channels to notify subscribers of explanation of benefits, account statements and billing invoices in a holistic and complaint fashion. ColdSpark’s e-mail automation solution allows these organizations to reduce the material and personnel costs of traditional print and postage by providing secure, traceable e-mail delivery of these notifications and drive users to electronic portals and Web sites.

Highlights of ColdSpark’s Paperless Explanation of Benefits and Billing and Statement Notifications solution

  • Reduces the associated costs of print and postage for explanation of benefits, account statements, billing invoices and other notifications
  • Has the potential to pay for itself in under a year in most cases
  • Supports existing paperless and green initiatives within healthcare payor organizations
  • Improves subscriber relationships by providing more timely communications
  • Provides a holistic view of subscriber e-mail communications
  • Allows organizations to leverage existing application infrastructure, such as EMR, traditional print-run and e-mail archiving applications, into a centrally managed solution

Healthcare payors and providers are driving toward green initiatives to help reduce operational costs and minimize needless print and paper activities. However, this goal can be challenging given the specific HIPAA constituent communications requirements placed upon healthcare organizations,” said Scott Brown, senior vice president and general manager, ColdSpark. “ColdSpark’s new solution for Paperless Explanation of Benefits and Statement and Billing Notifications meets HIPAA requirements while providing organizations with more effective communication channels with constituents. All of this increases their overall compliance capabilities while reducing operational costs and providing a potential return on investment within 12 months. Our recent customer win with a major state-based healthcare network is indicative of the interest and traction we’re seeing in e-mail automation as healthcare organizations invest in paperless communications for their large enterprises.”

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