In summary, IMPACT simply does it all.
Claim re-pricing, benefit adjudication, provider contract management, premium billing, case management, and all functions required by healthcare claim processing organizations.
TPAs, PPOs HMOs, Self Insured Companies, PHOs, and any other 3 letter acronym you can think of, can benefit from the power, flexibility and efficiency if the IMPACT system.
IMPACT is the most complete auto-adjudication system you can find.
We have yet to find a PPO pricing formula we cannot automate or a plan of benefits we cannot adjudicate, all automatically and without manual intervention.
For example; DME rental rates up to the purchase value of the product?
No problem.
Variable mammogram limits based on the age and medical history of the patient?
It’s simple.
Complex facility pricing based on DRG case rates including outliers and exclusions?
We do it every day.
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