Comprehensive Reporting

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Predictive Modeling, Benchmarks and Analytics

Pinnacle offers comprehensive reporting to provide direct oversight to help you take control of your health care dollars and can include customized reports.

By evaluating your analytics, you can:

  • learn more about the health of your workforce
  • understand the true benefits of your plan and wellness strategy
  • pinpoint chronic health conditions
  • develop a better understanding your employee population

Online Tools

Pinnacle’s Online Employer Resource Center gives you access to the information and reports you need, 24 hours a day, seven days a week.

We offer one-on-one program training so you can begin accessing your plan information immediately and understand how to maximize all that this resource has to offer.

PERC

Sample reporting data from PERC includes:

  • List of Eligible Employees in a Group
  • Estimated Group Statement of Premium, Fees and Expenses
  • Estimated Individual Statement of Premium and Eligibility
  • Group Census Report (with address)
  • Beneficiary Report
  • Analysis of Paid Claims
  • Member / Group Paid Claims Profile
  • Group Census Report (Sorted by Plan and Member ID)
  • Activities Log Report

Administrative reporting data includes:

  • Check Register
  • FTS/Medicare Report
  • COBRA Subsidy Reports
  • COBRA HIPAA Reports
  • COBRA Elections
  • COBRA Census

Stop-loss reporting data includes:

  • Standard Specific Report
  • Standard Monthly Aggregate Report
  • Eligibility Report
  • YTD Claims Summary
  • Paid Claims Analysis
  • Claims by Coverage Code (Medical; Dental)
  • Excess loss Report for Claims over 50% of the S/L Deductible
  • Top Provider Report (Medical; Dental)
  • Aggregate Summary
  • Potential High Dollar

Business Edge

We utilize Business Edge, a reporting function that provides customers with state of the art reporting solutions, allowing health benefit managers and brokers to conduct health trend analysis from an easy-to-use, drag and drop, web-based platform. Business Edge brings together the simplicity, speed of search and analytical power that provides our customers with immediate answers to business questions. Accessible through Pinnacle’s Employer Resource Center (PERC), Business Edge allows customers to make informed decisions about managing their health plan. Customers can produce graphs, ad-hoc queries and quickly access data as it relates to plan utilization, costs and trends.

This reporting tool is a free benefit for all of our customers. Business Edge provides a simple approach to managing customer’s health care data, uses the latest innovations in technology, and delivers a connected, interactive and open business intelligence solution.

 

Business Edge

We utilize Business Edge, a reporting function that provides customers with state of the art reporting solutions, allowing health benefit managers and brokers to conduct health trend analysis from an easy-to-use, drag and drop, web-based platform. Business Edge brings together the simplicity, speed of search and analytical power that provides our customers with immediate answers to business questions. Accessible through Pinnacle’s Employer Resource Center (PERC), Business Edge allows customers to make informed decisions about managing their health plan. Customers can produce graphs, ad-hoc queries and quickly access data as it relates to plan utilization, costs and trends.

This reporting tool is a free benefit for all of our customers. Business Edge provides a simple approach to managing customer’s health care data, uses the latest innovations in technology, and delivers a connected, interactive and open business intelligence solution.

One-Stop Solutions

Besides claims and benefits administration, we also offer pharmacy benefit management, health management and wellness programs, and stop-loss insurance. You can customize your solutions, or we can seamlessly integrate with your vendors.

Customize your experience by choosing the solutions you need:

One-Stop Solutions

Besides claims and benefits administration, we also offer pharmacy benefit management, health management and wellness programs, and stop-loss insurance. You can customize your solutions, or we can seamlessly integrate with your vendors.

Customize your experience by choosing the solutions you need:

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Brokers/Employers (PERC)Employees (Healthview)Providers (OPIS)