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Meeting the annual state and national regulatory requirements with the flexibility to meet your organizations specific quality improvement objectives is critical to your company’s success.
Our ClaimSphere suite is focused on helping payers and providers navigate the value-based shift and drive overall quality improvement. The results are faster care gap closure, increased operational efficiencies, better patient outcomes and improved quality of care.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Software as a service (SaaS) point-of-care platform for providers that facilitates supplemental data collection.
Helps decode patient-specific clinical events across disparate data sources and identify key issues impacting value-based outcomes and HEDIS quality ratings.
Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.
Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.
Flexible IT solutions to address requirements with customizable functionality.
Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.
Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.
Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.