Claims Processing

More on Quantum Choice (QC)

More on Claims Software – Plexis Quantum Choice (QC) Q: What is the average implementation length for Plexis QC? A: 9 to 24 months from contract defined start date. Q: Who are its common customer types? A: QC Handles large populations for medical, dental, or vision plans using or desiring  SOA and a building block [...]

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More on Plexis Claims Manager (PCM)

More on Plexis Claims Manager (PCM) Q: What is the average implementation length? A: 3 to 9 months from contract defined start date. Q: Who are its common customer types? A: PCMS handles small to medium populations for medical and vision plans with ease supporting complex benefit plans including use of exceptions to those benefits. [...]

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Third Party Admin (TPA) & Health Services (ASO) by Health Technology

Third Party Admin (TPA) & Health Services (ASO) by Health Technology TPA Management (TM) Claims Administration Customer Service Self-Funded Dental Admin Self-Funded Medical Admin Self-Funded Vision Admin Medical Management (MM) Dependent Eligibility Audits Disease Management Health Analytics Medical Cost Containment Prior Authorization (PA) Utilization Review (UR) Wellness Strategies Health Accounts Management (HAM) Flexible Spending Accounts [...]

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Steps in Claims Processing

Steps in Claims Processing The following are general steps used in claims processing by HealthTechnolgy.com: Identify Unbundling Upcoding And Miscoding Identify Duplicate Claims Compare Billed Services Against Pre-certified/Authorized Services Apply Network Discount To Network Provider Bills Apply UCR To Non-Network

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How is HealthTechnolgy.com different from others in Claims processing?

How is HealthTechnolgy.com different from others in Claims processing? HealthTechnolgy.com provides extraordinary services when it comes to Claims Processing. Some of value –addition is given below: Decreasing Administrative costs- Guaranteed Quality services Cost and performance guarantees Adequate geographic fit of provider and facility network and ability to enroll current network Claims processing and cost containment [...]

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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