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,, Medicare, Premium Billing, Revenue Cycle Management Services, Self Funded Plans, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Role of CMS

The Centers for Medicare & Medicaid Services (CMS) is a branch of the U.S. Department of Health and Human Services. CMS is the federal agency which administers Medicare, Medicaid, and the Children’s Health Insurance Program.  The CMS provides a framework for health care business. CMS was established to protect the interest of the customer along [...]


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Benefits of Enrollment Services

Our clients benefit from our end-to-end Enrollment services that involve: Processing Enrollment/Disenrollment Liaisons with CMS and State Medicaid agencies Handling of enrollment issues Interacting with PBM to resolve enrollment issues Fulfillment of ID Cards and Other Member Materials Tracking of all CMS Special Status Data Processing of all files from CMS Reconciliation of enrollment data [...]


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Prescription Drug Plan (PDP) Technology & Services by

Prescription Drug Plan (PDP) Technology & Services by (Health Technology) Prescription Drug Plan (PDP) IT or MAPD Technology is . We provide the following services to PDP sponsors, Medicare Advantage organizations that offer MA-PDs (including local HMO plans, local, PPOs, regional PPOs, and Private Fee-for-Service plans), organizations with Cost Plans under section 1876 [...]


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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