TAMPA, Fla. (Nov. 28, 2018) — Adding to its already extensive list of tools and services for health plan marketing and compliance departments, CODY has launched the CodySoft® Plan Benefit Package (PBP) Module®. The module allows plans to import data from multiple sources, including directly from the HPMS PBP tool via PBP xml Reports, into one centralized location.
After defining the data structure and writing rules to auto-transform the data, the data can then be exported as an enterprise-wide data grid to support contract tables, LIS tables, marketing tables, operational data and more, all from one centralized system. In addition, the PBP Module® allows for tight version control and provides a centralized Source of Truth for all plan benefit information and more.
“PBP information comes into a health plan in different formats from the state, federal government and various contracts — and nothing is consistent,” said CODY CEO Deb Mabari. “The PBP Module® will allow organizations to ingest data and transform it into member-facing text and a structured format that is usable enterprise-wide.”
CODY has more than a decade of experience working with health plans’ PBP data, giving their experts a unique perspective on the challenges that plans face and the intricacies of managing this data. Currently, the organization works with more than 60 government-funded and commercial health plans across 45 states, including Puerto Rico, covering over 50 million members nationwide.
“The PBP Module allows plans to easily process the most up-to-date data,” said Mabari. “This is a critical step in allowing health plans to manage PBP input changes as needed. The PBP Module database now becomes a single centralized Source of Truth that can be leveraged across the enterprise. Plans will no longer have to manage multiple data inputs where version control quickly becomes an issue.”
The PBP Module also allows health plans to:
• Create accurate member marketing materials, such as Annual Notice of Change (ANOC), Evidence of Coverage (EOC) and Summary of Benefit (SB) documents.
• Mitigate the enterprise-wide compliance risk of manually building and maintaining a centralized benefit grid.
• Save time and money by leveraging automation.
“We feel this module will be a more cost-effective and better designed solution compared to the limited number of other products in the marketplace,” said Mabari. “There is nothing in the marketplace today that manages all the different data structures and provides it in a universal format. This is truly revolutionary.”
To learn more about CodySoft’s Plan Benefit Package (PBP) Module®, please contact us today.
About CODY: CODY works with 60 government-funded and commercial health plans across 45 states, covering an estimated 50 million Medicare Advantage (MA) members nationwide. We help health plans maximize efficiencies and strategically integrate operations by streamlining marketing communications and improving regulatory compliance. Our proprietary suite of software, CodySoft®, is specifically designed for health plans. www.codyconsulting.com.