ClaimsExpress eliminates claim filing for employees!

ClaimsExpress-Making HRAs Easier!

Through our partnership with TPA Stream, OCA is able to offer it’s first in class “ClaimsExpress” service. ClaimsExpress™ automates the employee claim filing experience by linking to your insurance carrier portal! Once the accounts are linked, ClaimsExpress™ will automatically retrieve any new EOBs issued by the insurance company.

Setting up ClaimsExpress is as easy as…

Sync Account
Members can register for ClaimsExpress™ thru OCA’s portal/mobile app and enter in their carrier login credentials

EOB Retrieval
We then streamline the EOB retrieval and processing experience using automated technology

Automatic Claim Process
OCA can automatically reimburse eligible claims to members or match EOBs with pending card transactions

ClaimsExpress- Making HRAs Easier

OCA’s ClaimsExpress™ service streamlines the EOB retrieval and processing experience using automated technology! With over 150 supported carriers, OCA offers competitive advantages through paperless Explanation of Benefits (EOBs) processing and electronic retrieval. It eliminates claim filing for employees!

ClaimsExpress Carrier Integrations

ClaimsExpress FAQ

How does ClaimsExpress help my employees?

Your employees will be directed to create an account, an effortless process thanks to our single sign-on feature, which allows them to use their existing credentials. On the welcome page, they will be invited to “Link a Plan” by entering their carrier and their carrier’s website credentials. We’ll start pulling data immediately with no more effort on their part.

Which insurance carriers do you work with?

We have a substantial list of existing carrier relationships and we are continually adding support for new carriers.

Is ClaimsExpress HIPAA compliant?

Yes! ClaimsExpress is HIPAA Compliant and adheres to all HIPAA guidelines. We conform to the technical safeguards prescribed by the HIPAA Security Standards. These include: access control, audit controls, integrity, authentication and encryption.

Will my employees still need to substantiate challenged debit card transactions?

Possible. ClaimsExpress will attempt to substantiate all claims automatically with no need for employee action. However, if transactions do not match carrier EOBs, then employees will be asked to submit documentation. If necessary, manual substantiations can still be made by uploading a receipt.