Health plan operations for payors

Tapestry is a comprehensive, flexible system designed to help health plans manage operations across all lines of business. It gives payor organizations the tools necessary to meet the needs of members, employers, affiliates and the providers that serve them. Tapestry automates eligibility tracking, premium billing, utilization management and contracting/claims operations using sophisticated benefit plans and contracts. It also works seamlessly with Epic's clinical, financial, and access applications wherever they are implemented in your affiliated delivery networks.

Epic's integrated, web-based PlanLink application simplifies communications and information sharing with employers, agents, providers and members. Payors can use PlanLink to make online enrollment, eligibility summaries, referral requests, AP claims review and customer service messaging available.

Managed care administration for medical groups

Tapestry automates key workflows and tasks associated with managed care administration, helping provider organizations manage risk and maintain strong, collaborative relationships with payors. For providers, the system helps manage authorizations, compares capitation receipts against your eligibility history, and reconciles claim payments against your contracts. A comprehensive Benefits Engine makes it easy to handle copays, co-insurance deductibles, MOOP, tiered benefits, riders, and more, allowing users to make informed decisions and minimize errors.