Health Plans Solutions
We deliver measurable performance improvement using a pragmatic approach to managing change through systems implementations, process improvement, business process outsourcing or IT outsourcing.
Solutions and Services |
||
| Payer Optics 360°
Comprehensive solutions to create and manage health plan business intelligence |
Claims Recovery Outsourcing
A business process outsourcing service that discovers and collects monies you are due |
|
|
|
|
|
| Exchange Connector 360°
A proven solution to minimize risk |
IT Infrastructure Optimization for Health Plans
|
|
|
|
|
|
| Coverage Exchange 360°
Simplifying access to healthcare exchanges and ensuring competitive coverage |
Application Services
A mix of business and technical resources to ensure successful system implementation |
|
|
|
|
|
| Premium Billing 360°
A member-specific billing capability that supports the entire business portfolio |
Integration Services
Broad range of consulting and technology solutions to connect disparate technologies and applications |
|
|
|
|
|
| ICD-10 Assessment, Implementation and Testing
Tools and services for financial impact analysis, code management and testing |
FirstPortfolio™
Achieve measurable, sustainable results through the selection, implementation and maintenance of optimal technology solutions |
|
|
|
||
| Medicare Advantage and Part D 360°
Medicare Advantage and Part D solutions and outsourced services |
For more information, please contact us.