other payers Financial Accounts FM03 Manage Estate 1 2 Process is manual Management Receivable Recovery No business rules engine (FM) Management Limited workflow tools Standards needed for data exchange and interface No KPI Financial Accounts FM04 Manage Drug 2 3 Limited integration between Decision Support System (DSS) Management Receivable Rebate and Pharmacy Benefits Manager (PBM) (FM) Management KPI set by contract Financial Accounts FM05 Manage Cost Process is a mostly manual 1 2 Management Receivable Settlement No business rules engine (FM) Management Limited workflow tools Standards needed for data exchange and interface No KPI Financial Accounts FM06 Manage 1 2 Process is a mix of manual and automated steps Management Receivable Accounts Receivable No business rules engine (FM) Management Information Limited workflow tools No KPI Financial Accounts FM07 Manage No business rules engine 2 3 Management Receivable Accounts Receivable Limited workflow tools (FM) Management Funds No KPI Financial Accounts FM08 Prepare Member 1 2 Process is a mostly manual Management Receivable Premium Invoice No business rules engine (FM) Management Limited workflow tools Standards needed for data exchange and interface No KPI
other payers Financial Management (FM) Accounts Receivable Management FM03 Manage Estate Recovery 1 2 Process is manual No business rules engine Limited workflow tools Standards needed for data exchange and interface No KPI Financial Management (FM) Accounts Receivable Management FM04 Manage Drug Rebate 2 3 Limited integration between Decision Support System (DSS) and Pharmacy Benefits Manager (PBM) KPI set by contract Financial Management (FM) Accounts Receivable Management FM05 Manage Cost Settlement 1 2 Process is a mostly manual No business rules engine Limited workflow tools Standards needed for data exchange and interface No KPI Financial Management (FM) Accounts Receivable Management FM06 Manage Accounts Receivable Information 1 2 Process is a mix of manual and automated steps No business rules engine Limited workflow tools No KPI Financial Management (FM) Accounts Receivable Management FM07 Manage Accounts Receivable Funds 2 3 No business rules engine Limited workflow tools No KPI Financial Management (FM) Accounts Receivable Management FM08 Prepare Member Premium Invoice 1 2 Process is a mostly manual No business rules engine Limited workflow tools Standards needed for data exchange and interface No KPI