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Critical insight to guide management strategies,
process claims and provide accurate reporting.
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Our solutions enable Third Party Administrators to interpret population risks, identify cost-managing opportunities and improve client outcomes. We provide the critical insight to guide medical management strategy, edit claims and improve efficiency so you can reduce waste, contain costs, measure results and continually differentiate your services in the marketplace.
CoreSource used our solutions to improve data management and account reporting, streamline workflow and develop care management programs. High-risk member identification, analysis of disease and other risk assessment tools support TPAs efforts to improve member health and contain costs for its clients.
In Emergency Department use
Spent on clinical and financial members
Analyze and predict risk for Commercial, Medicare, and Medicaid populations with this comprehensive collection of...
A highly flexible, web-based platform that combines powerful online analytics with the ability to support diverse...
Reduce your facility claims with our expertise in editing and negotiation.
Prospectively identify new and emerging fraud schemes with next generation technology and clinical review.
Identify and stratify populations at the group or individual levels with this highly scalable, easy to use,...
Deliver superior payment recommendations by combining sub-second processing with transparent, open-source edits.
