What We Do

Healthcare Benefits Administration Software

Healthcare Benefits Administration Software

Streamlining Healthcare Administration for Today and Tomorrow.

Benefits Administration

Discover What We Do
and How We Do It

At Comprehensive Healthcare, we understand the challenges that businesses face in managing healthcare administration. That’s why we’ve developed the Novus360 Platform—a cutting-edge solution designed to optimize operations, provide valuable insights through data, and enhance digital engagement. This not only saves time but also drives increased satisfaction among your members.

Healthcare benefits administration software addresses major pain points for payors, employers, and plan administrators by automating and streamlining complex benefit management functions.

Key Components

Our Novus360 healthcare benefits administration software addresses major pain points for Unions, payors, employers, TPA’s and plan administrators by automating and streamlining complex benefit management functions.

Complex Plan Designs:

Managing multiple benefit options, eligibility rules, and compliance requirements is administratively intensive. Software centralizes and automates these processes, reducing errors and manual effort.

  • Eligibility Management
  • Disability, Cobra Adherence
  • Claims Processing
  • Reporting/Analytics
  • Billing & Payment Processing
  • Member Engagement

Enrollment Management:

Open enrollment, mid-year changes, and qualifying events create high administrative workloads. Platforms automate communications, eligibility checks, and digital workflows, improving accuracy and employee experience.

  • Efficiency and cost Savings
  • Improved Member Experience
  • Reduced Errors and Enhanced Compliance
  • Accessibility and Inclusion
  • Greater Engagement and Retention
  • Data Driven Personalization

Regulatory Compliance:

Frequent changes in healthcare regulations (ACA, HIPAA, IRS, ERISA) require rigorous compliance tracking, documentation, and reporting. Benefits administration platforms update workflows and forms to stay compliant.

  • Risk Reduction and Legal Protection
  • Enhanced Security and Patient Privacy
  • Audit Readiness and Operational Efficiency
  • Improved Collaboration and Transparency
  • Continuous Regulatory Adaptation

Billing and Premium Reconciliation:

Software automates monthly reconciliation, billing generation, and discrepancy resolution between employer, carrier, and employee payments.

  • Automation and Efficiency
  • Improved Accuracy, Cost Controls, Audit Trails
  • Scalability and Integration
  • Realtime Insights and Compliance

Data Security and Privacy:

Ensuring HIPAA compliance, secure document handling, and audit trails is critical—platforms enforce security with access controls, encryption, and privacy tools.

  • Data Security and Encryption
  • Regulatory Compliance (HIPAA, GDPR, etc.)
  • Trust, Efficiency, and Employee Empowerment
  • Operational Transparency and Breach Response

Reporting and Analytics:

On-demand reporting for compliance, utilization, and cost analysis helps administrators optimize plans and demonstrate ROI.

  • Strategic Program Optimization
  • Cost Control and Financial Insights
  • Enhanced Employee Experience
  • Compliance and Audit-Readiness
  • Continuous Regulatory Adaptation

Advantages

Novus360 enables our clients to deliver faster operations, fewer errors, stronger compliance, and better member experiences by automating enrollment, eligibility, billing, claims, and payments while integrating data and analytics across HR, payroll, carriers, and core admin systems.

Streamlined Operations and Automation

  • These platforms automate eligibility tracking, billing, premium reconciliation, communications, and reporting, reducing manual paperwork and administrative workload.
  • Integration with payroll, insurance carriers, and other HR systems speeds up processes and improves data consistency across platforms.

Increased Accuracy and Cost Control

  • Automated validation and reporting minimize costly errors in billing, enrollment, and coverage, leading to more accurate premium payments and compliance filings.
  • Real-time monitoring and reconciliation help identify discrepancies early, reducing financial waste and audit risk

Compliance and Data Security

  • Built-in regulatory tools ensure up-to-date compliance with laws like HIPAA, ACA, and COBRA, with secure data handling and audit trails.
  • Robust encryption and privacy features protect participant data and support organizational trust in benefits programs

Enhanced Employee Experience

  • Intuitive self-service portals help employees review, compare, and enroll in benefits anytime, anywhere—boosting participation and satisfaction.
  • Personalized recommendations and simplified access to information make benefits decisions easier and more rewarding.

Data-Driven Insights and Reporting

  • Advanced analytics allow organizations to track costs, usage patterns, engagement levels, and identify opportunities for plan improvement or savings.
  • Automated reporting streamlines compliance, HR tasks, and business planning with reliable, transparent documentation
Comprehensive Healthcare Systems Inc.

Why Choose Novus360?

Why Choose Novus360?

By leveraging the power of the Novus360 Technology Platform, you’ll streamline your benefits management, reduce costs, and offer more effective healthcare options for your employees—all while staying compliant and supported by a dedicated team.

Ready to simplify your healthcare benefits administration?
Contact Us today to learn more about how we can support your business.