benefitRelay
Bazzini Consulting, LLC
http://www.BazziniConsulting.com
benefitRelay Features

Electronic Data Exchange of enrollment &
eligibility data with Insurance Carriers
 Reconciliation of Bills, Claims, and Census Data
 Creation of monthly self bills
 Data Warehouse for Reporting and Analysis
Copyright (c) Bazzini Consulting, 2006 - 2008
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Electronic Data Exchange
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Deliver enrollment & eligibility data electronically to
insurance carriers
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benefitRelay can connect directly to and extract
enrollment data from any existing HRIS in real-time
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HIPAA X12 834
Proprietary formats
Electronically connect any enrollment source to any carrier
benefitRelay can also load data from hosted systems
or third party administrators

All formats supported – if it’s in an electronic format,
benefitRelay can load it!
Copyright (c) Bazzini Consulting, 2006 - 2008
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Electronic Data Exchange
Enrollment
summary for
current or any
previous
enrollment
period
One-click file
generation for
your carrier
Quick link to carrier web site for file delivery
Copyright (c) Bazzini Consulting, 2006 - 2008
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Connect directly to your HRIS or import
data from your third party administrator
benefitRelay extracts all
necessary enrollment &
eligibility data from your
HRIS as of the selected
date and stores it in the
benefitRelay data
warehouse, locking down
a copy of exactly what
was in effect as of the
selected date
Alternatively, you can
import enrollment &
eligibility information from
XML, Access, Excel or
ASCII files
Copyright (c) Bazzini Consulting, 2006 - 2008
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Connect any enrollment source to any carrier
Examples of benefit
enrollment sources
Ceridian
HR/Payroll
eSource
Input
Output
•Real time
connection
•HIPAA X12 834
•XML data
benefitRelay
•Excel file
ADP
UltiPro
Abra
•ASCII data
Examples of target
Insurance Carrier
•Vendor
Proprietary
•XML
Data
Warehouse
•Excel
•SQL Query
PeopleSoft
Oracle
SAP
SHPS
Employease
Hewitt
Blue Cross
Aetna
Enrollment &
Eligibility
VSP
Claims &
Billing
Cigna
Billing & Claims files
•Vendor Proprietary Formats
Copyright (c) Bazzini Consulting, 2006 - 2008
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Carrier Reconciliation

benefitRelay allows you to identify adds,
changes, terminations and missing data before
sending to the carrier
 benefitRelay can load bill files, claim files, and
census roster files and instantly compare them
to the enrollment data in your HRIS

If your carrier can give you an electronic file,
benefitRelay can load it! All formats are supported
Copyright (c) Bazzini Consulting, 2006 - 2008
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Carrier Reconciliation
Employee detail is readily available, along with “drill down” of additional information including history and
covered dependents
Quickly identify new enrollments (“Adds”), terminations (“Terms”), and any employees that were expected but
missing compared to the previous period. Reconcile your enrollment data before you send it to the insurance
carrier!
Hyperlink
Click for more info
Copyright (c) Bazzini Consulting, 2006 - 2008
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Carrier Reconciliation
benefitRelay can create a side-by-side comparison in Excel of your enrollment data
and the carrier list bill! Two-way matching provides quick identification of
•Enrollment data your carrier has that you don’t (premium overpayment)
•Enrollment data that you have that your carrier doesn’t (missing covered employees)
Match/No Match
Red for employees that
don’t match up, Green for
those that do
Side by Side Comparison
Line up your enrollment data
side by side with data from
your insurance carrier
Your Enrollment
Data
Insurance Carrier
Data
Copyright (c) Bazzini Consulting, 2006 - 2008
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Data Warehouse Reporting & Analysis
benefitRelay keeps a copy of all enrollment data that is never changed
or deleted. Full historical data is available for reporting and analysis.
One-click access
to enrollment data
delivered in Excel
format. List Bill
can be
customized for
each carrier and
contain any
information you
require
Copyright (c) Bazzini Consulting, 2006 - 2008
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Additional Capabilities

Once implemented, many customers have found that benefitRelay
is an ideal platform for many other HR/Benefit/Payroll purposes:
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Total Compensation Statements: a custom solution was delivered that
uses an extended version of the benefitRelay data warehouse to
generate and store all data required for a Total Compensation
Statement, and also output a fully customized personalized statement
that can be easily updated using MS Office tools
Payroll Analysis and Reporting: another customer asked if
benefitRelay could help them get more useful reports out of their
payroll system, resulting in an advanced payroll analysis module
Other HR system connectivity: many customers have found that
benefitRelay can just as easily send and receive data from other “best
of breed” HR products, including Payroll, Recruiting, Performance
Evaluation, Pension and EAP, among others
Copyright (c) Bazzini Consulting, 2006 - 2008
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benefitRelay Results
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Proven results
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Documented savings of up to 3% - 5% of annual premiums
Dramatic decrease in time spent managing insurance carriers
Substantial increase in accuracy and timeliness of enrollment &
eligibility information to all carriers from a single source of data
Single source of data ensures consistency across all carriers
Platform for plan analysis and ad-hoc reporting
Complete audit history to document and quickly resolve
enrollment issues
Satisfied customer references available
Copyright (c) Bazzini Consulting, 2006 - 2008
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Case Study: Take Two Interactive
(Creator of Grand Theft Auto)
Environment
 Previous administrator fired, T2 needed full implementation fast - before
next billing cycle (4 weeks)
 benefitRelay implemented for 5 carriers, including electronic bill
reconciliation and consolidation
 Connected with UltiPro (hosted by UltiPro) using standard Cognos reporting
tools to output data in Excel format
 Connected with 5 carriers in four weeks by working very closely with
carriers and consultant through development and testing phases, minimal
customer HR and IT involvement
 Created monthly summary bills with complete accounting/GL integration
without missing a premium bill due date
 Automated reconciliation of monthly list bills immediately identified
substantial premium overpayments and ineligible coverages
 Data security and integrity imperative – benefitRelay has helped identify and
resolve many UltiPro data and configuration issues
Copyright (c) Bazzini Consulting, 2006 - 2008
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Case Study: Take Two Interactive
(Creator of Grand Theft Auto)
Results
 Began project 4/30, all carriers in full live production by 7/1
 Billing reconciliation for all carriers in place by 5/30
 No interruption in enrollment processing or billing
 Immediate improvement of data accuracy – many account/structure and setup issues
with carriers identified and corrected
 Immediate improvement in billing accuracy – premium credits identified and verified
within first billing cycle
 Immediate improvement in UltiPro configuration and data accuracy – many specific
employee data issues cleaned up, several significant UltiPro setup issues found/fixed
 All carriers are now receive data from the same source – major improvement in data
integrity and consistency. Issues now fixed once in a single place, ensuring all carriers
have accurate and timely information
 Consolidated bill is far more flexible than previous solution – accounting can easily
group and view billing information in unlimited ways using standard Excel pivot table
Copyright (c) Bazzini Consulting, 2006 - 2008
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Case Study: Take Two Interactive
(Creator of Grand Theft Auto)
“Show me the money”
Within 4 weeks of implementation, benefitRelay was directly
responsible for identifying and documenting enrollment and billing
issues that resulted in the following premium credits:
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Medical Provider: $140,000 credit issued
Dental Provider: $13,000 credit issued
Life/AD&D/LTD provider: $20,000 credit issued
What makes the above numbers even more amazing is that the
client had a professional employee benefit services firm managing
their enrollment and billing data directly with each carrier!
Copyright (c) Bazzini Consulting, 2006 - 2008
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Partial Vendor List
A few of the vendors benefitRelay has connected with:
Copyright (c) Bazzini Consulting, 2006 - 2008
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Partial Customer List
A few of the clients that have realized the value of benefitRelay:
Copyright (c) Bazzini Consulting, 2006 - 2008
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benefitRelay – More info
For more information and pricing:
Robert Bazzini
Bazzini Consulting, LLC
(610) 696-3311
[email protected]
http://www.bazziniconsulting.com
Copyright (c) Bazzini Consulting, 2006 - 2008
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