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Eligibilty Management

At SHN, our system maintains eligibility records as well as billing records for all members and dependents electronically based on each individual member as well as each individual family member separately.

  • Plan Sponsors can provide enrollment information in electronic or paper format

  • Plan Sponsors can make their own changes to the eligibility on a daily basis either through a modem hook-up to the system or through the internet.

  • All changes are processed within 24 hours of receipt.

  • Death Audits Performed Twice a year

  • Dependent Audit Performed Quarterly

  • Invoicing from Providers reconciled electronically saving your organization time and money