Clinical Services

HealthCare Payer Services – PAS, CMS, AAS and RPS

HealthCare Payer Services – PAS, CMS, AAS and RPS Platform & Administration Services – PAS Ancillary Benefits Administration (AD&D) Claims Adjudication Claims Runoff Administration Claims Services Coordination of Benefits (COB) Eligibility Flex Plan Administration Identification Cards Issue employee materials Member Education/Communication Stop-Loss administration Summary Plan Descriptions (SPD) Care & Medical Management Services – CMS Case [...]

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Posted in BPO, Claims, Claims Administration, Clinical Services, Document Management, Finance and Accounting, Health Actuarial, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medicare, Premium Billing, Revenue Cycle Management Services, Self Funded Plans, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Health Plans, Self-funded Plans, RBMs, IPAs, MSOs and TPAs in America

Health Plans, Self-funded Plans, IPAs, MSOs and TPAs  in America  1199 NATIONAL BENEFIT FUND 3P ADMIN 8TH DISTRICT ELECTRIC A & I BENEFIT PLAN ADMINISTRATORS A.G.I.A INC. AAA CHICAGO AAG-AMERICAN ADMINISTRAVIE GROUP AARP – UHC OVATIONS INSURANCE SOLUTIONS ABC HEALTH PLAN ABRAZA ADVANTAGE HEALTH PLAN ACCESS MEDICARE ACCLAIM ACCLAIM REPRICING ACCOUNTABLE HEALTH PLAN – WISCONSIN ONLY [...]

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Posted in ACOs, BPO, Call Center Services, Claims, Claims Administration, Clinical Services, Document Management, Employee Benefits, Enrollment, Enrollment Services, Enrollment Services RFP, Finance and Accounting, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, Healthcare Analytics & Business Intelligence, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medical Services, Medicare, PDP, Plexis, Portal, PPO Network, Premium Billing, Reports, Revenue Cycle Management Services, Self Funded Plans, Services by HealthTechnology.com, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com 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, HealthTechnolgy.com, Medicare, PDP, Plexis, PPO Network, Premium Billing, Revenue Cycle Management Services | Comments Off

Clinical Services and Administration by HealthTechnolgy.com (HT)

Clinical Services and Administration by HealthTechnolgy.com (HT) HT Clinical Services include: Case Management Quality Assurance Utilization Review Services Deep Dive RTW – Development of effective, safe and successful return to work (RTW) programs for injured Care Management – Assess, plan, implement and evaluate treatment plans and care for injured workers based on established treatment guidelines. Allows [...]

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Posted in Claims, Claims Administration, Clinical Services | Comments Off


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

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