Web Systems Integration
Multi-Channel Claims Access on a Unified Digital Platform
PGBA helps you empower your customers with multi-channel, online access to claims information.
We provide web tools and customer-facing portals that seamlessly integrate with our partners’ policy and claims administration systems — letting members view and manage their claims, coverage and eligibility details in real time. We can develop stand-alone web tools or integrate them with the tools you have in place today. Meanwhile, our online patient directory allows providers to enter patient data into their own directories, which then populates submitted claims.
With PGBA’s multi-channel model, registered users can access health plan information and support via their preferred means — whether it’s by phone, live chat, email or self-service. On one convenient, secure digital platform, users can…
- Submit claims with real-time adjudication
- Review policy details
- Check claims status and eligibility
- View EOBs and remittances
- Receive and perform online authorizations and referrals
- Contact customer support