Health Insurance Business Management

Health insurance is a type of insurance coverage that typically pays for medical, surgical, prescription drug and sometimes dental expenses incurred by the insured. Health insurance can reimburse the insured for expenses incurred from illness or injury, or pay the care provider directly. It is often included in employer benefit packages as a means of enticing quality employees, with premiums partially covered by the employer but often also deducted from employee paychecks.

Oracle Revenue Management and Billing has extended its pricing and billing engines to meet the requirements of the following three lines of health insurance business:

To use the pricing and billing engines for the above three lines of health insurance business, you need to set the respective prerequisites:

Line of Business Prerequisites
Fully-Insured Group Health Insurance Refer to the Pre-requisites section.
Self-Funded Group Health Insurance Refer to the Pre-requisites section.
Individual Health Insurance Refer to the Pre-requisites section.

Parent Topic: Oracle Revenue Management and Billing Insurance Business Processes