Areas of Focus

We’re 100% focused on healthcare.

We help payers and providers eliminate and streamline tedious, manual work in the following departments:

• Revenue Cycle and Access Management
• Finance and Accounting
• IT
• HR, Legal, and Compliance
• All areas of Customer Service

We work with payer organizations to improve processes and automate tasks for better efficiency and accuracy:

• Actuarial Analysis
  Pricing, risk assessment, benefits design
• Membership Enrollment
  Pre-filing enrollment, enrollment applications, ID card issue, subsidy calculation, case installation, benefit set-up, renewal, and termination
• Billing
  Payment collection, payment processing, EOB, subsidy processing
• Provider Network
  Provider credentialing, performance management, provider payment, provider data management
• Claims
  Intake, processing, adjustment, payment, coordination of benefits, fraud management
• Medical Management
  Prior authorization, utilization management, health and wellness, clinical operations, and audit

We help streamline healthcare workflows, enabling clinical staff to provide better care and experience for patients.

• Revenue Cycle – Front (Access), Mid, End
  Authorization and claim status checks, insurance verification, scheduling and reminders, coding and charge capture, health information managers (release of information, care documentation, cash posting and reconciliation, claims management)
• Finance and Accounting
  Accounts Payable and invoicing, Accounts Receivable and reconciliation, data collection, reporting and analytics
• IT
  Enterprise testing, help desk and support, migrations, password reset · Nursing and Care Delivery: care gap audit, clinical documentation, Epic InBasket, registry updates, patient screening, scheduling (appointments, orders, staffing)
• Credentialling, Enrollment, Contracting
  Fee schedule and pricing updates, payer enrollment, provider credentialing
• Pharmacy and Supply Chain
  Order intake, DUR review and 340b compliance, inventory forecasting and ordering

Ready to simplify how your organization works? Contact us to streamline your healthcare workflows.