2M+
AutoPay transactions Annually
Up 56%
One-Time Payments
Sped up refunds
refunds and eliminated manual mailing costs through digital disbursements.
Background
For over 30 years, one of the nation’s leading health insurers has served a diverse member base with complex billing needs across group, individual, and self-funded segments. But behind the scenes, legacy billing infrastructure was holding them back from addressing the increase in healthcare billing demands. Repetitive manual processes, inconsistent platform reliability, and a lack of modern payment options were creating operational friction, both for the billing team and for members.
That changed when they partnered with Alacriti. By implementing Orbipay EBPP, the insurer has transformed billing operations, digitized payments at scale, and unlocked new levels of efficiency and control.
The Challenge
The previous EBPP solution lacked the reliability and flexibility the insurer needed to keep up with evolving expectations. Frequent system downtime disrupted billing cycles, while manual reconciliation processes strained internal teams and slowed cash flow. Members lacked self-service options, leading to slower payments and heavier call volumes. “We had a lot of ups and downs with our prior platform. It just wasn’t stable. We knew we had to make a change,” said their Director of Billing Operations.
The insurer was also looking for a platform that could support the unique complexities of group billing (like layered access, partner keys, and PHI-driven security rules) without requiring workarounds or compromising compliance—needs their previous EBPP provider couldn’t meet.
Why Alacriti?
The insurer chose Alacriti’s Orbipay EBPP solution due to its flexible, modern platform. Unlike other vendors, Alacriti didn’t just offer a product; they offered a partnership. From day one, the insurer found a team willing to collaborate, co-develop, and truly understand the demands of group-based billing in the health insurance industry. Key benefits that influenced the decision included:
- Reliability and Stability: A secure, cloud-native platform that eliminated recurring outages and ensured consistent billing cycles.
- Modern Member Experience: Features like text/email reminders, autopay, and one-time EFT payments created a frictionless billing journey.
- Flexible Architecture: Seamless integration with the insurer’s member portal and support for complex group billing scenarios.
- True Partnership: “Alacriti truly partnered with us from the beginning. It’s been a strong partnership—supportive, attentive, and built around the unique needs of group billing in health insurance,” said their Director of Billing Operations.
Implementation
Orbipay EBPP was implemented across all member segments. The platform integrated cleanly with the insurer’s existing infrastructure and supported secure access management, layered partner controls, and member-specific rules. Alacriti worked closely with the insurer’s team to ensure a smooth transition, including automating digital disbursements and lockbox reconciliation.
The Impact
Since implementing Orbipay EBPP, the insurer has seen measurable improvements:
“If someone receives the bill electronically, they’re far more likely to pay electronically. It just works better—for them and for us,” said their Director of Billing Operations.
Member Benefits
Operational Benefits
Before modernization, teams spent hours each week manually reconciling payments and processing paper checks. With Orbipay EBPP, those tasks have been automated, significantly reducing overhead and processing time. By offering a reliable and flexible billing experience, the insurer has improved both internal efficiency and external satisfaction.
Future Outlook
Looking ahead, the insurer plans to expand its digital disbursement capabilities and explore deeper integration with provider networks and employer groups. There is also interest in supporting additional self-service enhancements and extending digital capabilities to accommodate more complex billing arrangements as they scale.
Conclusion
In a space where many vendors deliver technology, Alacriti delivered true partnership. By working closely with the insurer to improve internal workflows and enhance the member experience, Alacriti not only modernized their billing operations, they elevated it. For this leading insurer, Alacriti’s Orbipay EBPP didn’t just check the boxes; it set a new standard.
