2nd September 2019

Westfund Health Insurance improves member experience with Civica’s Online Patient Eligibility Check cloud solution

Sydney, September 3, 2019: Westfund Health Insurance has selected Civica’s Online Eligibility Check solution to streamline services and help improve its member experience. The not-for-profit health fund provides access to a wide range of health services to local regional communities across NSW and Queensland. 

Civica’s cloud based Online Eligibility Check will help Westfund streamline existing processes used to check patient eligibility by reducing the number of calls hospital staff need to make to health fund care workers. This will free them from administration work and enable them to spend more time focusing on providing the best experience for their members.  

Westfund’s Executive Manager of Technology Services, John Pallister, says the system will not only drive greater operational efficiencies but also provide members and healthcare workers with greater visibility of eligibility information. He says, “As an organisation that puts its members first, we seek to deliver innovative services that improves their experience.

“Civica’s Online eligibility Check is a step in the right direction to help us deliver on this objective. The solution will streamline existing processes, allowing hospitals to easily and instantly inform members of their eligibility as well as inform them of any out-of-pocket expenses a patient has for excess and co-payments associated with the hospital. This means patients and hospital staff can make informed decisions based on real time information.”

Vinay Chand, Managing Director of Civica Health welcomed Westfund Health Insurance to Civica. He says, “We are delighted to support Westfund Health Insurance’s vision to provide better member services. In an environment where private health insurance companies are adapting to changes driven by customer behaviour, regulatory and technological changes, digital tools like our Online Patient Eligibility Check help to deliver greater operational efficiencies and improve member experience”.

Currently, more than 70 per cent of the private health insurance market use Civica’s Online Patient Eligibility Check solution, which is built to integrate with Medicare’s industry portal and follow industry data protocols. This enables hospitals to use their existing systems to process incoming requests without having to switch to fund-specific provider portals.

About Westfund Health Insurance

Westfund Health Insurance (www.westfund.com.au) has been built on solid community values and a foundation of trust, located in the heart of regional Australia, yet now reaching across the nation. Westfund is proudly not-for-profit, committed to treating their members as people, not numbers and are honoured to be trusted with looking after their members’ health.

About Civica Group

Civica (www.civica.com) is a global specialist in critical software applications, digital solutions and managed services that help teams and organisations around the world to transform the way they work. Combining exceptional customer focus, experience and commitment, Civica supplies more than 3,000 major organisations in 10 countries, providing the software and digital technology and automation behind essential everyday services for over 100 million people and businesses.