/care modules

Industry recognized service isn't possible without technology that provides an advantage.  Our advantage is our technology and our technology comes from our bundled "Care Modules."  Care Modules consists of the following four components:

Care Port

Where we exchange key information with payers and providers; import claims, enrollment, authorization, pharmacy and clinical data.

Care Coordinate

Involving your health care community in the decision making process by participating in utilization review, case management, disease management, medical records review, and allowing members to review their claims data with our member portal.

Care Compensate

Enabling our quick and accurate provider reimbursement with; claims entry and adjudication, claim payment and remittance advice, claim auditing, enrollment, COB, TPR, TPL, premium billing, fraud prevention.

Care Sentinel

Providing timely information to support care and compensation decisions with; data warehousing, mining, extraction, scheduled and ad-hoc reports, real-time decision support, real-time claims processing support.

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