Healthcare Consulting

Our experience enables us to build, upgrade or maintain custom applications to handle our client’s business needs. Some of the recent customized applications we build for our clients include

Our experience enables us to build, upgrade or maintain custom applications to handle our client’s business needs. Some of the recent customized applications we build for our clients include

External Communication

  • Automation of member & provider notification and reconciliation
  • Built applications for letter generation using templates in Microsoft word or Crystal reports
  • Interfaced with robot dialers to automate phone calls to members and providers
  • Dynamic generation of HCFA-1500 or UB-04 form with claim details for forwarding misdirected claims to health plan

External Communication

  • Automation of member & provider notification and reconciliation
  • Built applications for letter generation using templates in Microsoft word or Crystal reports
  • Interfaced with robot dialers to automate phone calls to members and providers
  • Dynamic generation of HCFA-1500 or UB-04 form with claim details for forwarding misdirected claims to health plan

Reporting

  • Automated report generation using Crystal Reports, SQL Reporting services or customized applications
  • Expertise in building Tableau or SSRS dashboards
  • Detailed understanding of reporting guidelines including Medicare Part C reporting
  • Expertise in design and development of data warehouses with nightly or real-time updates

Reporting

  • Automated report generation using Crystal Reports, SQL Reporting services or customized applications
  • Expertise in building Tableau or SSRS dashboards
  • Detailed understanding of reporting guidelines including Medicare Part C reporting
  • Expertise in design and development of data warehouses with nightly or real-time updates

Reporting

  • Automated report generation using Crystal Reports, SQL Reporting services or customized applications
  • Expertise in building Tableau or SSRS dashboards
  • Detailed understanding of reporting guidelines including Medicare Part C reporting
  • Expertise in design and development of data warehouses with nightly or real-time updates

We have worked with (on behalf of our clients) the following
health plans in exchanging various data feeds

We have worked with (on behalf of our clients) the following health plans in exchanging various data feeds