Drive true value for you and your members.
This flexible claims solution integrates with provider, payer, employer, and member data to deliver:
- Medical, pharmacy and custom claims
- Real-time claims adjudication
- Customer rules and editing
- Cost trending and analysis
- Batch review, approval & payment automation
- Pricing
- Paper and electronic payments and EOBs
Plus:
- 60% fewer claim status calls
- 100% QPA audit compliance
- Integrated ERA/EFT + reconciliation