Our Claims Management Software provides you with the most accurate and up-to-the minute information regarding your healthcare policy performance. Our medical claims processing system analyzes and evaluates millions of compiled claim transactions to generate accurate reports and reliable informatics which allow our clients to compare their healthcare policy performance to other U.S. payers, large and small. The claims management software includes a comprehensive suite of processing tools can be configured according to your needs, in a fully compliant HIPAA environment.
Our clients are one mouse click away from access to medical claims surveillance, case file investigations for fraud and abuse, plan analyzers, predictive modeling, tools for cost projections and plan design analyzers. Our TPA software is a 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.
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