IntelliClaim delivers claims performance solutions that combine proprietary technology with deep subject-matter knowledge for the healthcare payer industry. IntelliClaim offers payers sophisticated and effective cost containment solutions that optimize claims processing performance and produce immediate medical and administrative savings. IntelliClaim reviews over $24 billion in healthcare claims decisions annually for healthcare payor organizations, covering 20 million lives, including some of the country's largest health plans.
Hygeia Corporation provides medical cost containment solutions for the United States as well as international insurers, third party administrators, assistance companies, self-funded plans, claims handlers and expatriate programs through a national PPO Network, a proprietary Claim Arbitration Service for non-network claims, and an Air Ambulance Exchange offering competitive bids on air ambulance services from quality providers worldwide. Hygeia's PPO network of acute medical care providers, including "Centers of Excellence" facilities, along with our Arbitration Service, combine to deliver high savings rates, broad claims transaction coverage and quality medical services on major medical, out-of-area, out-of-network, travel health and advanced health claims.
Benefit Informatics enables the efficient planning, management and analysis of employee benefit plans. Services include an extensive system for predictive plan modeling, analytical tools for assessing benefit plan financial performance and the means for employers and individuals to manage benefits online while providing the information needed to make cost effective benefit decisions.
The Electronic Document Routing and Management System (eDRMS) is AltaPacific's industry recognized business process management and workflow automation solution. The eDRMS automates the currently time-intensive and error prone paper workflow processes that are currently in place in many businesses. The eDRMS allows companies to convert existing documents into electronic documents and associate them to workflows. Each step of the document routing processes is action based and routed according to user approvals, denials or other actions at each step. Utilizing the edrms allows companies to set up alerts when documents are pending for a user, report on process inefficiencies, retrieve real-time document statuses, automate time-based decision process, have a central backup of all office records, and much more. eDRMS is popular with banks, insurance companies, doctor's offices or any other organization that uses workflow for their documents (such as a loan application or claim).
Claimsnet is a leading provider of Internet-based claim processing solutions for the healthcare payer industry, including distinctive and advanced ASP technology. Headquartered in Dallas, Claimsnet offers systems that are distinguished by ease of use, customer care, security and measurable cost advantages. Claimsnet clients gain access to a broad range of provider organizations for the efficient exchange of HIPAA-defined electronic healthcare transactions. More information on Claimsnet can be found at the Company's web site at www.claimsnet.com.
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