PayerFusion’s Intelligent Technology Makes You The Expert
Our Shared “In-source Solution” Ends the Guessing Game of Claims and Policy Management
The technology and knowledge based enterprises created and employed by PayerFusion allows us to provide you with the most accurate and up-to-the minute information regarding your policy performance. We analyze and evaluate millions of compiled claims transactions to generate accurate reports and reliable informatics which allow our clients to compare their policy performance to other U.S. payers, large and small. Our comprehensive suite of tools can be configured according to your needs, in a fully compliant HIPAA environment.
Our clients are one mouse click away from access to claims surveillance, case file investigations for fraud and abuse, plan analyzers, predictive modeling, tools for cost projections and plan design analyzers. Our web enabled communication platform enhances accuracy in decision making by dramatically increasing the speed in which valid and reliable information is shared. At PayerFusion, we make sure tools for success are easily accessible for all of our clients. Our pioneering technology augments risk management by: (1) providing financial and clinical early alert predictors and (2) profiling chronic diseases and potential catastrophic claimants. Our clients enjoy a technological advantage which includes:
Enterprise-class web application
- Accessible via the Internet
- Remotely hosted at a hardened data center
- 99.9% guaranteed up-time
- Utilizes 128-bit encryption (SSL enabled)
- Open interfaces to integrate with legacy systems
- Multi-language support/multi-time zone
- Multi-currency real time conversion
- Handles sophisticated client business configurations
- Role-based security
- Developed using open-source technologies
- Friendly user interface
- Leverages strong:
• Workflow components
• Transaction processing
Coming Soon: Mobile Devices
- Provides both payer and partner facing applications
- Secure information delivery and capture
- Business intelligence and executive information
- Allows for unstructured data capture such as voice and photos
- Distributed via iTunes App Store or Blackberry Application