PowerSTEPP

Advanced Technology for Health Plan Administration
DST Health Solutions' PowerSTEPP is an integrated, enterprise-level software application for companies involved in the delivery, management and administration of healthcare services and healthcare benefits. PowerSTEPP is tailored to the needs of healthcare payers and administrators, including national and regional health insurance carriers and HMOs, Blue Cross and Blue Shield plans, third-party administrators, self-funded plans, PPOs and repricers. PowerSTEPP supports commercial health, Medicaid, Medicare and other business lines.

Support for Business Transactions, Interactions and Analytics
PowerSTEPP supports not only your business transactions, but also your customer interactions and business analysis as well. Major functional areas include:

• Member enrollment and administration
• Benefit plan management
• Provider management
• Claim adjudication, repricing and workflow
• Referrals/authorizations
• Claim auditing
• Premium billing and capitation management
• Managed flexible spending
• Web transactions and inquiry (through ePower)
• Electronic data interchange (EDI)
• Voice response
• Issue management
• Data warehouse and executive information system (through DST Health Solutions' InfoSTEPP and AdvanceMed CompareCare)
• Standard reporting
• AP/GL

Extreme Flexibility and Business Rules
PowerSTEPP's ability to administer a wide cross-section of health plans and benefit structures translates into higher rates of automatic adjudication for claims processing, and increased operational efficiencies for other administrative areas. PowerSTEPP's modular design and flexible, parameter-driven rules allow users to easily customize specific business functions into automated processes. The flexible, user-defined system set-up lets each client determine how PowerSTEPP will support its unique health benefit administration needs. The system is also integrated with a business rules engine (DST Health Solutions' VP/MS), allowing business users to define and implement calculations and new functionality without the need for additional programming.

A Single, HIPAA-Ready Platform for All Business Lines
PowerSTEPP can easily administer indemnity and managed care products for individual health, group health and self-funded business using one powerful software system. As you enter new markets or as existing markets change, PowerSTEPP adapts easily to accommodate changes in business processing. DST Health Solutions provides regular enhancement releases to PowerSTEPP that keep the product current with industry standards and functionality requirements. In addition, DST Health Solutions is committed to helping our clients address regulatory mandates - PowerSTEPP is an up-to-date solution that enables HIPAA-compliance.

Integrated Workflow and Issue Management
Pended-claim resolution is a process that can drive up operational costs and erode customer satisfaction for health plans and administrators. To address this problem, DST Health Solutions created PowerQueue, a graphical, fully-integrated workflow system within PowerSTEPP that helps you increase operational efficiency, productivity and customer responsiveness. PowerQueue automates the distribution of pended health insurance claims and other work items and provides management with real-time operational data and performance information. The workflow features are further enhanced by caller and issue management creation, tracking and reporting and by navigational tools and drop-down menus that make it easy for users to find information to resolve customer inquiries.

High-Performance and Deployment Options
PowerSTEPP helps you automate high-volume processes with a high degree of consistency, quality and accuracy. This commitment to quality automation provides superior operational performance while maintaining business flexibility. PowerSTEPP is available through turnkey application license or ASP deployment. DST Health Solutions also uses PowerSTEPP as the technological backbone for our business process outsourcing (BPO) centers supporting payer/administrator back-office processing. DST Health Solutions' business services team provides you with all the elements necessary for a successful implementation and for ongoing product support and enhancement.

For more about PowerSTEPP, contact us at inforequests@dsthealthsolutions.com.