Health & Life Insurance Management System (HLM)

HLM is a full featured Medical Aid and Life Insurance administrations system that you need if you are looking for advanced software to maximise automation in benefit administration, provider contracting and claims management. Advanced Options specialises in the research and development of cutting-edge software solutions for health and life insurance providers. Health plans, benefit administrators and self-insured companies appreciate how HLM increase productivity, improve business efficiency and reduce total cost of ownership.

HLM is an enterprise application that automates back office administration and claims adjudication. Additional modules include enrolment, Service Provider Management, Reinsurance, Premium billing, Overpayment Recovery, Customer Service, Reporting, EDI, Financial Management, General Ledger, Receivables, and Payables.

HLM Simplifies Medical Aid Administration

HLM provides the flexibility and precision to streamline every aspect of your Medical Aid & Life Insurance administration. Following are some of the features available with HLM:

  • Enrolment of Medical Aid Groups and Members 
  • Easy management of complicated family structures
  • Identifies Medical Aid Principal Member
  • Supports different benefits for each individual, if required
  • E-mail and SMS notifications
  • Loading of Medical Aid Fee schedules 
  • Multiple Tariff systems
  • Multiple chronic add-ons 
  • Standard and custom drug list
  • Automatic claim adjudication and refund management
  • Dynamic scheme management
  • Reporting
    • Loss ratio reporting
    • Bordereau Reporting 
    • Aged Accounts Receivable
    • Aged Accounts Payable
  • Online Risk Authorisation
  • Online access for Members and Service providers
  • Reinsurance
  • Unearned income management
  • Financial Management 
    • General Ledger 
    • Accounts Receivable 
    • Accounts Payable
    • Cash Management
    • Fixed Assets
    • Inventory Management
    • Financial Statements