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Description

Evaluate your group's medical and prescription usage along with associated costs by comparing them to one of the nation's largest normative datasets. Utilize our cutting-edge analytics to identify potential areas of concern effectively. Eliminate the hassle of spreadsheets; with Decision Master® Warehouse's dynamic dashboards and reporting tools, you can swiftly uncover the who, why, where, what, and when, enabling you to implement targeted strategies that save costs. Assist clients in making informed decisions by experimenting with alternative plan design options in advance. Analyze the impact of changes on both your client's financial health and the healthcare expenses of their employees. Our benchmarking information is sourced from one of the most extensive normative datasets available, including insights from Truven Health Analytics and the Kaiser Family Foundation. Delve into over 60 categories, such as total health plan expenses, inpatient and outpatient claims, emergency room usage, and much more, to gain a comprehensive understanding of healthcare dynamics. This depth of analysis empowers organizations to tailor their strategies more effectively, enhancing overall health management.

Description

I-CAPS stands for Intelligent Claims Administration System, designed to comprehensively cover all aspects of the health claims payment sector through a unified architecture that meets the diverse requirements of payers, including areas such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS, along with our Advanced Value Scale (AVS) coding compliance software, facilitates informed decision-making to assist clients in managing expenses effectively. The Advanced Network Administrator (ANA) ensures the accuracy of provider information in an efficient manner, while our Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR) is a pioneering solution in the market, built on RBRVS and NCCI frameworks. For a thorough assessment of your plan or provider’s performance, consider utilizing our Cost Containment Audit and Recovery Services (CCARS), which provide a meticulous and non-intrusive evaluation of claims efficiency. This holistic approach not only enhances operational effectiveness but also promotes greater transparency within the health claims ecosystem.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Zywave

Founded

1995

Country

United States

Website

www.zywave.com/analytics-cloud/decision-master-warehouse/

Vendor Details

Company Name

W.O. Comstock & Associates

Website

www.amrhealth.com

Product Features

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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