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.