December, 2012

Professional HealthCare BPO & TPA Services by

Professional HealthCare BPO & TPA Services by Advanced Analytics Actuarial Services Audit & Compliance Cost-Containment & Bill Review Document Management Finance & Accounting Platform BPO / TPA (SaaS) Care Management Discharge Management (DM) Disease Management (DM) Formulary Management (FM) Medication Therapy Management (MTM) Prior Authorization (PA) Utilization Management (UM) Claims Management Claims Adjudication Claims [...]


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Posted in Call Center Services, Claims, Claims Administration, Clinical Services, Enrollment, Enrollment Services, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare,, Medicare, PDP, Plexis, PPO Network, Premium Billing, Revenue Cycle Management Services | Comments Off

HealthCare Software & Services by

HealthCare Software & Services by is a leading BPO / TPA firm HQ in New Jersey, USA with sweet spot into HealthCare – Self-funded Plans & Government sponsored Plans. focus play is into Self-funded Health Plans Government Sponsored Health Plans Commercial Health Plans HealthCare Service Organizations (Specialty Carve-Out) Plans BPO & [...]


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Leading Actuarial Firms in America

Leading Actuarial Firms in America Abraham Consulting Inc. Acuff & Associates Inc. Adams Actuarial Agee & Associates Aon Hewitt Buck Consultants Chernoff Diamond & Co LLC Conning Research & Consulting Inc. Donlon & Associates Inc. Euler Hermes Fairmont Specialty Group First Actuarial Consulting Team LLC Gabriel Roeder Smith & Co Group Health Cooperative Guy Carpenter [...]


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Posted in Health Actuarial, Health Analytics, HealthCare, Healthcare Analytics & Business Intelligence | Comments Off

Health Actuarial Services by

Health Actuarial Services by We provide Health Actuarial Services to Payers, Providers, Government Sponsored Plans (Medicare, Medicaid) & Self-funded Plans Actuarial Services @ Glance For  HMO’s and other Insurers – Rate projections and related services for HMO’s, Health Insurers &  Self-funded Plans For Compliance Program Statistical Sampling – Statistical sampling services for Medicare/Medicaid [...]


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Health Analytics by What we do?

Health Analytics by What we do? Financial analysis of the health plan’s performance Operational analysis for Medical Management and Provider Contracting Review, evaluate and improve company business logic and data sources Ensure timely creation of management reports Ensure data integrity Developing, implementing and monitoring the health plan’s strategic plan Operations of Finance and Medical [...]


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425 Washington Blvd., Jersey City,
New Jersey 07302, USA

Phone: +1 201.258.4704 / 201.258.4704
Fax: +1 201.604.3480