Transform healthcare insurance to next generation platforms
We have helped leading healthcare insurance companies to implement technology innovation. There is need to automation and new generation platforms. Adjudication systems are shifting towards cloud based configuration rather than monolithic apps.
Edit Facets and QNXT Services
We have helped large insurance companies to successfully complete and roll out their Facets and QNXT implementations. We can help to scale your team to achieve optimum results.
We have solved various enterprise architecture challenges. We can help you to implement new healthcare regulations, implement new technologies or implement new healthcare idea.
We provide EDI managed services to payers for maintenance, performance scaling and operations. This includes delivering new EDI technology and trading partner management.
Regulation and Compliance
We have developed best practices to make sure your technology is HIPAA compliant. We have helped various companies to implement new regulations like 5010, ICD-10, Healthcare Reform, Obamacare, CAQH, CORE, FHIR and others
We have helped insurance companies to implement and configure HealthEdge
We have experience in implementing end to end technology for healthcare companies – Web, Mobile, Telemedicine, IVR, Telephony, Integrations, EDI, Claims Integrations, Salesforce, HL7 and others
Increase Claims Auto Adjudication Rate
We improved the claims auto adjudication rate for major insurance company by implementing right front end edits adn code validations
Healthcare Reform implementation
We managed and successfully delivered changes required for healthcare reform implementation in EDI, Facets, QNXT and other systems
QNXT Managed Services
We managed QNXT operations, configuration, upgrades and changes for mid range healthcare insurance company