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GTESS Partners |
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Availity
Availity optimizes the flow of information between health care professionals, health plans, and other health care stakeholders through a secure internet-based exchange. The Availity® Gateway encompasses administrative and clinical services, supports both real-time and batch transactions via the Web and electronic data interchange (EDI), and is HIPAA compliant. Availity supports the HIPAA transaction set with multiple payers as well as value-added services such as credentialing and prescription refills. For more information, please visit www.availity.com. |
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Beech Street | Press Release
Beech Street Corporation has more than 50 years of reliable service in the healthcare industry and has a network of more than 380,000 respected doctors, 3,500 hospitals and more than 50,000 ancillary network providers. Beech Street provides services such as nationwide network access, URAC accredited and NCQA certified healthcare management services, cost containment programs, a Disease Management program and a Workers' Compensation program. For more information, please visit www.beechstreet.com. |
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Bloodhound, Inc.
Bloodhound, Inc. provides claims editing and business analytics services to all participants in the claims revenue cycle. Our services, technologies and products combine to offer any payor of claims the most comprehensive solution to preventing overpayment or miscoding of claims. Delivered as an ASP application, our premier service, ClaimsGuard, enables real time edit processing of claims for accuracy including duplicates, up-coding, re-bundling, and unbundling of codes. Our customers engage us to improve their profitability, gain insight into provider/payer historical behavior and assist them in building more efficient claims processes. For more information, please visit www.bloodhoundinc.com. |
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Eldorado Computing, Inc. | Press Release
Based in Phoenix, Arizona, Eldorado Computing Inc. is a recognized leader in providing integrated software and ASP solutions for health benefits management. The company serves hundreds of third-party administrators (TPAs), health plans, employers and self-funded organizations. Together, Eldorado's 140 customers manage seven million lives and handle more than 43.2 claims annually. For more information, please visit www.eldocomp.com. |
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Acclamation Systems, Inc. | Press Release
Acclamation Systems, Inc. is the developer of LuminX, a comprehensive benefits management system that seamlessly integrates HIPAA compliant functionality in the areas of claims processing, group billing and administration and accounting. LuminX combines sophisticated design with document imaging and the latest Internet capabilities to help companies achieve the lowest cost per claim in the industry. For more information, contact Mike Ferraro at Acclamation Systems, Inc. at 800.872.7848 x369 or visit www.acclamation.com. |
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MedAvant
MedAvant is the industry's only healthcare technology company with a nationwide electronic clearinghouse and PPO network. We are focused on delivering secure, web-based solutions that automate healthcare transaction processing, facilitate medical cost containment, and implement business process outsourcing. Our Precision Solutions for PayersTM help our payer clients meet these challenges and reduce healthcare costs through innovative real-time and batch processing technology, powerful web-based applications, and one of the nation's oldest and largest Preferred Provider Organizations (PPO): the National Preferred Provider NetworkTM (NPPN). To learn more, visit www.medavanthealth.com. |
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MultiPlan | Press Release
For more than 30 years, MultiPlan has helped healthcare payers and providers partner together to combat rising healthcare costs. Based on The MultiPlan Network®, the nation’s leading independent network of over 4,000 acute-care hospitals, 86,000 ancillary facilities and 360,000 individual practitioners, MultiPlan serves as a single electronic gateway to a host of primary, complementary and out-of-network strategies for managing the financial risks associated with healthcare claims. Clients include large and mid-sized insurers, third-party administrators, self-funded plans, HMOs and other entities that pay claims on behalf of health plans. |
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PayerPath
Payerpath is a provider of Internet-based financial management software applications and related services for healthcare providers, hospitals and payers. The company's comprehensive suite of applications, led by Payerpath Claims Management, address all steps in the reimbursement cycle-from verifying patient eligibility and correcting inaccurate claims to managing remittance and generating secondary billing. Consequently, providers are able to reduce administrative costs and eliminate payment delays for healthcare services resulting from claims denials. For more information, visit www.payerpath.com. |
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Payformance
Payformance is singularly focused on the delivery of optimal solutions for corporate and healthcare payments and reporting. Serving more than 3,500 customers, Payformance has a twenty-year history of providing industry leading electronic payment solutions, print services, and corporate payment software systems. Payformance is headquartered in Jacksonville, FL. For more information, visit www.payformance.com. |
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PHCS
For more than 20 years, PHCS has been a leader in health care cost management. Their customers include self-insured employers, third-party administrators, Taft Hartley Funds, insurance companies and managed care organizations who have made the decision to seek best-in-class services to deliver health benefits to their employees and members. PHCS provides customers with premier network and care management services. The PHCS Network is the largest proprietary preferred provider organization (PPO) network in the country with nearly 450,000 providers and over 4,000 facilities in the network. As a proprietary network, PHCS contracts directly with every participating network provider and performs rigorous credentialing to ensure that providers meet quality standards. |
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Preferred Medical Claim Solutions (PMCS)
Preferred Medical Claim Solutions (PMCS) assists providers, patients and payers in reducing the costs associated with out-of-network claims. PMCSí HIPAA compliant EDI accelerates the efficiency of the adjudication and payment process with a fully customizable solution assuring the most appropriate channel of settlement. PMCS offers unprecedented levels of service by working closely with the medical provider to establish a preferred channel of settlement, whether it be Professional Fee Negotiations, Continuous Discount Agreements or Supplemental Networks through the nation's top local, regional and national PPO Networks. To learn more about the solutions that PMCS offers, please visit www.pmcsonline.com. |
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ppoONE | Press Release
ppoONE, a Fiserv Health company, is a leading eHealth information services company providing enterprise business solutions for the health care industry. Based in Dallas, Texas, the company delivers dynamic products for niche health care segments. As an Applications Service Provider (ASP), ppoONE is a market leader for automated claims repricing, fee schedule maintenance, provider data management, credentialing, customer service, and reporting for PPOs, TPAs, managed care plans and insurance carriers nationwide. The ppoONE application currently processes over 20 million claim transactions a year. For more information, call 972.447.6400 or visit www.ppoone.com. |
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Medstat-Thomson | Press Release
Medstat (www.medstat.com) is a healthcare information company that provides market intelligence and benchmark databases, decision support solutions and research services for managing the cost and quality of healthcare. The company applies these capabilities to improve policy and management decision making for employers, government agencies, health plans, hospitals and provider networks. Medstat is a business within the Thomson Corporation, www.thomson.com, with 2003 revenues of $7.6 billion. A global leader in providing integrated information solutions to business and professional customers, Thomson has more than 20 million users in the fields of law, tax, accounting, higher education, scientific research and healthcare. The Corporation’s common shares are listed on the New York and Toronto stock exchanges (NYSE: TOC; TSX: TOC). |
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