The single largest financial and administrative network in the U.S. healthcare system, reaching 750k physicians, 105k dentists, 60k pharmacies, 5k hospitals, 600 vendors, 450 laboratories, and 1,200 government and commercial payers.
Regulatory complexity. Shifting business models. Industry consolidation. Regardless of the catalyst, we are able to help our customers anticipate and navigate the dynamic healthcare environment of today and tomorrow.
Improving the patient experience. Reducing the cost of care. Ensuring better health outcomes. Utilizing a broad set of capabilities and expertise honed on the frontlines of innovation, we are able to help our customers focus on their most pressing issues and opportunities.
We give hospitals and doctors the tools they need to verify patient eligibility in real time, submit claims electronically, automate their billing systems and manage payments across the revenue cycle.
We help payers address critically important strategic objectives including member engagement, payment accuracy, administrative efficiency, and the transition to value based payments.
We help pharmacies streamline claims management, automate accounts receivable, and reduce costly claims submission errors.
By working with plan sponsors, we give consumers the ability to make smart choices about healthcare providers based on quality, cost, and convenience.
We help payers better engage members, optimize risk adjustment and quality, make transactions more efficient, prevent fraud waste and abuse, and reduce financial costs.
Our high speed pharmacy network provides the platform to automate claims and prescription processes, improving efficiency and driving revenue. We work within existing workflows and systems to streamline the process and reduce costs and complexity.
We help providers simplify the complex process to get paid, streamline eligibility verification, optimize claims and denials processes, identify underpayments, explore coverage opportunities, and automate billing systems, and manage payments across the revenue cycle.
We are a leading provider of software and analytics, network solutions and technology-enabled services that optimize communications, payments and analytics by leveraging our Intelligent Healthcare NetworkTM – the single largest financial and administrative network in the United States healthcare system.