Benefits and Eligibility

Onicol's fully integrated Benefits and Eligibility System is designed to seamlessly interface with a Payors existing infrastructure. In addition, we will custom design benefit plans for each carve-out specialty to meet the needs of the Payor, Patient and Provider. Benefit Designs are carefully synchronized with Onicol Medical Management, Onicol Claims Management, Onicol Provider Services, Onicol Patient Services and Onicol Pharmacy Management to maximize quality of care, efficiencies and cost-effectiveness. And our Benefits and Eligibility Services cover both Medical and Pharmaceutical Benefits to ensure all aspects of care are managed and coordinated resulting in:

  • Benefits designed to align patient and provider incentives for better outcomes
  • Sophisticated systems and controls that quickly identify eligible members and accurately track benefits from authorization to claims and outcomes