Benefit Administration
Use AI to automate, optimize, and enhance the process of setting up configurable benefit plans within the enterprise system.
Eliminate Manual Touchpoints in the Benefit Configuration Process
Use LightSpun's Benefit Configuration Module to automate the complex process of setting up and maintaining administrative, clinical and plan rules for claims adjudication.
Benefit Configuration Module
Easily configure and manage complex dental benefit designs with precision and flexibility. Our Benefit Configuration module allows payers to define plan rules, coverage levels, limitations, exclusions, and frequency caps—all without writing a single line of code. Support a wide range of plan types and customize benefits at the group or member level. Built for accuracy and scalability, this module works seamlessly for both Government and Commercial plans, ensuring smooth integration with claims adjudication and real-time eligibility checks.
Plan & Provider Fee Schedule Module
LightSpun's Provider Fee Schedule Management module meticulously tracks and updates multiple fee types, including standard rates, specialized service fees, and individually negotiated fees with providers. This complex data is integrated into claims adjudication to ensure correct payment to provider type, geographical location, and patient benefit plans.
Member Portal
Give your members a clear, convenient way to manage their benefits. Through the Member Portal, they can view plan details, track claims, find in-network providers, update personal information, and get support—all in one secure and user-friendly platform. Whether checking coverage or downloading ID cards, members have 24/7 access to the tools they need to stay informed and in control.
Group Portal
Empower your clients with a seamless self-service experience through the Group Portal. Admins can easily manage member eligibility, view and download real-time reports, track claims and enrollment, and communicate directly with support. Designed for efficiency and transparency, the portal puts everything group administrators need at their fingertips—secure, intuitive, and always up to date.
Unlock your organization's full potential
Partner with Lightspun to make transformational changes to your organization. Our unified platform helps our customers achieve lasting results through intelligent automation, reduced processing time, and enhanced provider network management.