TPA PLATFORM · ENROLLMENT · CLAIMS
Healthcare Enrollment Management System for TPAs
One portal for health insurance enrollment, plan selection, dependents and claim tracking, with access tailored to every role.
Overview
The Aeonix Healthcare Enrollment Management System is a web platform for Third Party Administrators (TPAs) in health insurance. It connects TPAs, employers, enrollers, employees, their dependents and healthcare providers in one portal, from enrolling in a plan to tracking a claim.
Members choose from health plans including dental and vision options, add dependents such as a spouse or children, see their coverage limits, co-pays and deductibles, and pay premiums through salary deduction. The platform has handled more than 20,000 enrollments across employers and providers in Lufkin and Irving, Texas, and Guymon, Oklahoma.
Key Highlights
Plan Selection
Members compare and choose health plans, including dental and vision options.
Dependent Management
Add a spouse or children to a plan during enrollment.
Salary Deduction
Premiums are deducted through payroll, with no separate payments to chase.
Real-Time Claim Tracking
Members follow claim status and make adjustments through the portal.
Benefits Overview
Coverage limits, co-pays and deductibles in an easy-to-read format.
Updates and Support
Announcements, a health and insurance knowledge hub, and 24/7 chat and contact support.
Applications
- Third Party Administrators (TPAs)
- Employers offering health benefits
- Benefits enrollment teams
- Healthcare provider networks
Seven user roles, each with the access it needs
A role-based access module (RBMS) gives every user only the functions and data their role requires.
- Super Admin: system configuration, user management and maintenance
- Admin: daily operations, employer accounts and enrollment monitoring
- Employer: employee enrollments, plan options and admin tasks
- Enroller: enroller admins manage teams; enroller agents help employees choose plans
- Employee: review plans, enroll and manage coverage
- Dependent: view plans and update coverage details
- Provider: verify eligibility, review coverage and manage claims
Built-in modules
The platform combines four modules so enrollment, people data and documents stay in one system.
- RBMS: role-based access control
- HRMS: workforce data and salary deduction
- ACMS: centralised control of application operations
- DMS: paperless document management
Technical Specifications
- User roles
- 7 (Super Admin, Admin, Employer, Enroller, Employee, Dependent, Provider)
- Modules
- RBMS, HRMS, ACMS, DMS
- Stack
- React, Node.js, cloud
- Usage
- 20,000+ enrollments, 5+ employers, 20+ providers, 2+ TPAs
- In use
- Lufkin and Irving, Texas; Guymon, Oklahoma (USA)
FAQ
Who is the platform for?
Third Party Administrators in health insurance, and the employers, enrollers, employees, dependents and providers they work with.
Where is it in use?
With TPAs serving employers and providers in Lufkin and Irving, Texas, and Guymon, Oklahoma, with more than 20,000 enrollments so far.
How is access controlled?
A role-based access module gives each of the seven user roles only the functions and data it needs.
Does it connect to HR and payroll?
Yes. It integrates with an HRMS, which also supports premium payment through salary deduction.
BUILT AND DEPLOYED BY AEONIX
The team behind it and where it runs
Simplify Benefits Enrollment
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