Facts |
Our mission is to automate the business processes of healthcare finance that are
impossible or impractical to do by hand through the use of the best available, advanced,
proprietary systems that assure the fiscal integrity of our subscribers’ health
plans and reduce their operating costs.
 An example of this is the automation of
coordination of benefits (COB). Accurate COB requires a knowledge of all the sources
of coverage that millions of patients have, in a market where 10 Million eligibility
changes are ordered each month. All existing audits show that 46% of patients present
at Admitting without any proof of coverage, and no provider undertakes the polling
of 4500 health plans to assure the accuracy of its billing. The result is that providers
bill the wrong payers 20% or more of the time, and the wrong payers pay because
they, too, don’t know better. The damage to fiduciary trust funds, public and private,
runs in hundreds of billions of dollars per year.
Our patent-pending business processes
resolve this problem in real-time, and in doing so cut the 20 minute overhead and
insurance verification process from 20 minutes per admission to a matter of a few
seconds.
Just as in the deployment of the original telephone switchboard over 100
years ago, the efficiencies will transform the healthcare finance business for everyone
who adopts them.
|