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Claims & Coding HotList
Payers
Axonwave Software Inc.
873-595 Burrard St.
Vancouver, BC Canada V7X1C4
800-332-0021
Axonwave's Claim Recovery Management System
is designed to help payers increase their
OPL (other party liability) claim recovery rates.
Automates claim identification and prioritization,
uncovers hidden contextual information
within unstructured data such as claim
comment fields, locates hard-to-find claims by
connecting information across multiple data
systems, automates case management and
correspondence.
www.rsleads.com/509ht-227
Payers
McKesson
5 County View Rd.
Malvern, PA 19355
610-296-3838
McKesson's Claim Check and CodeReview detect,
correct and document coding errors in
provider claims through a knowledge base of
rules and edits. Applications are customizable to
meet exacting needs of a payer's business practices,
contractual requirements and medical payment
policies to support proprietary differences.
Analytical and reporting tools enable real-time,
actionable information for quicker resolution.
An additional ASP application allows for complete
edit disclosure of all edits with sourcing
and the ability to include proprietary edits.
www.rsleads.com/509ht-230
Payers
Quality Care Solutions Inc. (QCSI)
14647 S. 50th St., Ste. 150
Phoenix, AZ 85044
480-735-7000
The QNXT enterprise application manages
relationships among a payer, members, sponsors
and medical providers in a single, integrated
solution. It scales to process any number of claims,
distributing workloads across an enterprise.
The MyHealthBank suite is a consumer-directed
healthcare solution for Web-enabled quoting,
sales, enrollment and plan administration with
FSAs, HRAs and HSAs; managing cash accounts
and financial transactions; providing members
with decision-support tools to become more
involved in managing healthcare choices.
www.rsleads.com/509ht-233
Providers
A-Life Medical
6055 Lusk Blvd., Ste. 200
San Diego, CA 92121
858-812-3200
Actus combines workflow … Source: HighBeam Research, Claims & coding hotlist.