For Payers

The AriaPay Payment Gateway module provides a complete solution for premium billing, premium payments collection, and reconciliation management. A fair amount of complaint calls to Payer call centers are billing related. This drives up the operational costs while driving down member satisfaction and retention rates.

The Payment Gateway module allows Payers to fully automate their premium billing platforms to improve billing accuracy. Additionally, customer expectations around billing accuracy, transparency, and ease of payment will continue to develop as they have for other digital billing and payments. Payers need to exceed such expectations by utilizing modern technology to automate and improve every billing and payment touchpoint.

Our billing platform provides the following capabilities:

• Supports real-time generation of initial invoices for new enrollments
• Provides monthly maintenance of recurring invoices based on a configurable schedule
• Generates invoices either at a member-level or at a group-level
• Integrates in real-time with the Enrollment platform to retrieve the most up-to-date monthly premium rates and subsidy information
• Calculates rates when billing transactions are created instead of relying on “stored” rates, thereby improving accuracy
• Precisely calculates retroactive billing by matching new transactions to previously generated billing transactions
• Allows the user to define the method by which the amount owed needs to be calculated including past amount due, monthly premiums, subsidies, and adjustments
• Allows configuration to determine if a zero-dollar or a credit invoice should be sent out to the member
• Determines who should be receiving the invoice between the subscriber, responsible person, custodial parent, or any other entity

The billing platform consolidates all the responsibility related to the members across multiple product lines. By automating and streamlining key processing steps associated with billing management, the platform empowers Payers to quickly adapt their solution to support new insurance products and business processes with minimal IT involvement.

Our payment platform provides the following capabilities:

• Processes payments from multiple sources including credit and debit cards, ACH and e-checks, auto-pay, cash payments received through MoneyGram, and lockbox payment processing
• Processes and allocates premium payments paid by the member
• Processes 820 files to apply and allocate Advanced Premium Tax Credits (APTC) payments and other subsidies received from the state or FFM
• Determines members’ enrollment plan status based on the amount owed and payments received
• Manages the delinquency for membership based on configurable grace period rules
• Terminates delinquent member who have exhausted the grace period
• Cancels enrollment plans due to non-payment of binder invoice payments
• Enrolls members under convenient payment plans due to hardships, thereby deferring the termination for insufficient payments
• Conducts bad debt processing based on the criteria and schedule configured by users
• Performs actions on payments after they have been applied to the accounts (E.g. split, reassign, reversals)
• Conducts the escheatment process for unidentifiable payments
• Refunds over over-payments in scenarios where responsibility is reduced, or enrollment is cancelled

Our Payment Gateway also seamlessly integrates with a Payer’s general ledger system to reconcile the expected payment received along with the actual payments received. Payment Gateway identifies any discrepancies and flags them to be resolved.