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Healthcare Services > Managed
healthcare
A series of templates, procedures and reporting structures
targeting payers and providers of healthcare, as well as Third
Party Administrators (TPA’s) of health care, to enable them to
build systems that facilitates access to and deployment of
information critical to their business in a timely and cost
efficient manner.
Functional components of the offering
While several of the components of the offering are
applicable to payers as well as providers, there are some that
are applicable to only one of these segments. All the components
are applicable to TPA’s. The offering addresses, and provides
templates, procedures and reporting structure for the following
aspects of the Managed Health Care process:
- Membership and Eligibility
- Membership and Eligibility (Payers only)
- Membership and Eligibility (payers and Prospective Providers)
- Membership and Eligibility (payers and Providers)
- Benefit Plan Management (payers only)
- Provider Contracting (payers, Prospective Providers, and Providers)
- Claims Adjudication
- Premium Billing
- Provider Contracting (payers, Prospective Providers, and Providers)
- Capitation
- Customer Service
For a custom quote, email us at info@Elensoft.com
or call us at +91 7312592616.
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