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Claims Processing
Claims processing system designed
to help us excel in our
service commitment.
Zenith American Solutions claims system offers these key functionalities to support health care benefits management:
PPO Re-pricing
Medical Management
Claims Adjudication
Customer Service
Claims Editing
Electronic Data Interchange (EDI)
Claims Payment
Reporting and Analytics
Eligibility
Consumer Driven Health Care (CDHC)
Plan Management
Loss-of-Time (Short-Term Disability)
Integration with several services such as:
Reporting and analysis
EDI
Scanning and document management
Financial services for payments and receipts
Internet based services – websites, email, etc.
Features include:
Flexibility to change and support multiple client-specific processing requirements
Logic engines and features that enable processing customization and automation
High auto-adjudication rates and integration with EDI services
Demonstrated large scale success
HIPAA compliant transactions including code sets, privacy and security
Open Systems Environment – the ability to interoperate and share information across platforms
Multiple rate tables and Medicare edits consistent with industry standards
Facilitating the administration of increasingly complex benefit plans and regulations
Providing an outstanding platform for data exchange between client vendors (e.g., disease management, wellness, etc.)
Allowing for significantly improved data collection, tracking and reporting
To request more information please send us an
email
.