WordPress database error: [UPDATE command denied to user 'u293292647_echolinks'@'localhost' for table `u293292647_echolinks`.`wp_options`]
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FACET Configuration - Echolink Solutions

WordPress database error: [UPDATE command denied to user 'u293292647_echolinks'@'localhost' for table `u293292647_echolinks`.`wp_postmeta`]
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Member<\\/span>\\n\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t\\t\\t\\t<\\/a>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7c20bfd elementor-hidden-mobile jltma-glass-effect-no\\\" data-id=\\\"7c20bfd\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-8d571c4 elementor-align-right elementor-hidden-breakpoint0 jltma-glass-effect-no elementor-widget elementor-widget-button\\\" data-id=\\\"8d571c4\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"button.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-button-wrapper\\\">\\n\\t\\t\\t\\t\\t<a class=\\\"elementor-button elementor-button-link elementor-size-sm\\\" href=\\\"https:\\/\\/echolinksolutions.com\\/contact\\/\\\">\\n\\t\\t\\t\\t\\t\\t<span class=\\\"elementor-button-content-wrapper\\\">\\n\\t\\t\\t\\t\\t\\t<span class=\\\"elementor-button-icon\\\">\\n\\t\\t\\t\\t<i aria-hidden=\\\"true\\\" class=\\\"fas fa-arrow-right\\\"><\\/i>\\t\\t\\t<\\/span>\\n\\t\\t\\t\\t\\t\\t\\t\\t\\t<span class=\\\"elementor-button-text\\\">Get started<\\/span>\\n\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t\\t\\t\\t<\\/a>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\",\"scripts\":[],\"styles\":[]}}' WHERE `post_id` = 30 AND `meta_key` = '_elementor_element_cache'

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WordPress database error: [UPDATE command denied to user 'u293292647_echolinks'@'localhost' for table `u293292647_echolinks`.`wp_postmeta`]
UPDATE `wp_postmeta` SET `meta_value` = '{\"timeout\":1764378375,\"value\":{\"content\":\"\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-e646837 elementor-section-full_width elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"e646837\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-83453bd jltma-glass-effect-no\\\" data-id=\\\"83453bd\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-dc1c93d jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"dc1c93d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">MANAGED SERVICES<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-3a4cffb jltma-glass-effect-no elementor-invisible elementor-widget elementor-widget-heading\\\" data-id=\\\"3a4cffb\\\" data-element_type=\\\"widget\\\" data-settings=\\\"{&quot;_animation&quot;:&quot;slideInUp&quot;}\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">FACET Configurations<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-d60fad9 elementor-view-default jltma-glass-effect-no 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elementor-element elementor-element-ef7c902 elementor-section-full_width elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"ef7c902\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1127ab3 jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"1127ab3\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-d562625 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"d562625\\\" data-element_type=\\\"widget\\\" 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class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f7ab3b1 jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"f7ab3b1\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-4412906 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"4412906\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Enrollment<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d903ffe jltma-glass-effect-no\\\" data-id=\\\"d903ffe\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-c70a621 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"c70a621\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-3826e7e jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"3826e7e\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Perform member assessments, enrollments, health homes billing for Medicaid Health and recovery plan.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-8227948 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"8227948\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-50aa27e jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"50aa27e\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Automate member eligibility rules for Medicare Special Needs Plan (SNP) and Medicaid Health and Recovery plan.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-0a161ca elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"0a161ca\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-ef5f051 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"ef5f051\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Identify all Medicare SNP members who had 90-days assessments and 365-days reassessments.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-b71ace9 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"b71ace9\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-14be2f0 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"14be2f0\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Extract Member eligibility information from FACETS and generated enrollment files in HIPAA 5010 EDI 834 for Medical, Dental and Vision vendors.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-a5f22cd elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"a5f22cd\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-a0fe90c elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"a0fe90c\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a8902ca jltma-glass-effect-no\\\" data-id=\\\"a8902ca\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-94b7f66 jltma-glass-effect-no elementor-widget elementor-widget-spacer\\\" data-id=\\\"94b7f66\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"spacer.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-spacer\\\">\\n\\t\\t\\t<div class=\\\"elementor-spacer-inner\\\"><\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-98eb963 elementor-section-full_width elementor-reverse-mobile elementor-reverse-tablet elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"98eb963\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2bc0011 jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"2bc0011\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-c677769 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"c677769\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Billing and Payments Reconciliation<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-574a3d5 jltma-glass-effect-no\\\" data-id=\\\"574a3d5\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-3ae9394 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"3ae9394\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-09e4049 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"09e4049\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Integrate our client\\u2019s systems with third party payment system which allows members to set-up recurring payments and make premium payments online seamlessly from member portal.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-02d2d97 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"02d2d97\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-745dc69 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"745dc69\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Process all premium bills to third party payment gateway to accept and process payments to member accounts.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-9e2f31e elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"9e2f31e\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-e0d63c4 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"e0d63c4\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Reconciled member actual deposits from the exchange which includes subsidies for Advanced Premium Tax Credits (APTC) and Cost Sharing Reduction (CSR) against HIPAA EDI 820 policy-based payment notifications.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-0fc044f elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"0fc044f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-0e9f4c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"0e9f4c6\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e0a4f57 jltma-glass-effect-no\\\" data-id=\\\"e0a4f57\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-88f6b16 jltma-glass-effect-no elementor-widget elementor-widget-spacer\\\" data-id=\\\"88f6b16\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"spacer.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-spacer\\\">\\n\\t\\t\\t<div class=\\\"elementor-spacer-inner\\\"><\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-480ead9 elementor-section-full_width elementor-reverse-mobile elementor-reverse-tablet elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"480ead9\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3b4dce7 jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"3b4dce7\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-f18072c jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"f18072c\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Claims &amp; Encounters<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-67b5bdf jltma-glass-effect-no\\\" data-id=\\\"67b5bdf\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-c07976d elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"c07976d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-5e57679 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"5e57679\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\"> We Validate and auto adjudicated Professional (837P), Institutional (837I), Dental (837D) and Pharma (NCPDP) claims from various provider networks \\/ vendors and processed response in HIPAA EDI 277\\/835 form.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-2d42a3a elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"2d42a3a\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-9ea4050 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"9ea4050\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">We Integrate Clients systems with third party vendor to process EDI 278 pre-authorization requests from providers in real time.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-38ec864 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"38ec864\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-c233f9f jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"c233f9f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Extract and submitted all post adjudicated Medicaid claims (Medical 298P\\/299I, Dental 300D, Vision and Pharmacy NCPDP) State\\u2019s All Payer Database and improved state acceptance rate by fixing state exceptions \\u2013 these will be used to calculate capitation rate and to identify the clinical areas for improvement.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6cffa86 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"6cffa86\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-8429e1d jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"8429e1d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Reconciled encounters submissions against state responses and generated discrepancy report\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6830cdf elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"6830cdf\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-c8f7d32 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"c8f7d32\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Processed Medicare Advantage members post adjudicated claims data to CMS Risk Adjustment Processing System (RAPS) and CMS Encounter Data Processing System (EDPS) for risk score calculation.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-180c8bf elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"180c8bf\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-5a2cf9d jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"5a2cf9d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\"> We Collect member information from Charge sheets (part of Medicare charge sheet review) and validated against Clients FACETS system to process linked and unlinked claims accurately.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-ee9bdf8 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"ee9bdf8\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-599d209 elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"599d209\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e2d810b jltma-glass-effect-no\\\" data-id=\\\"e2d810b\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-0f38769 jltma-glass-effect-no elementor-widget elementor-widget-spacer\\\" data-id=\\\"0f38769\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"spacer.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-spacer\\\">\\n\\t\\t\\t<div class=\\\"elementor-spacer-inner\\\"><\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-6d45e24 elementor-section-full_width elementor-reverse-mobile elementor-reverse-tablet elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"6d45e24\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7fa45c7 jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"7fa45c7\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-4b6644c jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"4b6644c\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Risk Adjustment<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1852850 jltma-glass-effect-no\\\" data-id=\\\"1852850\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6dfe495 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"6dfe495\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-d6a1bc7 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"d6a1bc7\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">We analyze Risk Adjustment initiatives by analyzing the encounters and extracting data for chart review.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-450b5a2 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"450b5a2\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-02ca2ba jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"02ca2ba\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Performed data aggregation, validation to obtain the suspect list and created reports to analyze the priority of suspect.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-cb5c3ac elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"cb5c3ac\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-1ad33dd jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"1ad33dd\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Create workflow for analyzing the supplemental codes and submitted to State, CMS, and EDGE as per the respective encounter information.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-4c2e90c elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"4c2e90c\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-dd4e26f jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"dd4e26f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Analyze the response from government bodies and clear out the errors in the submitted claims to achieve more than 99% accuracy in submission.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-a6596d4 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"a6596d4\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-9c0d0d3 elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"9c0d0d3\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-94f7dbe jltma-glass-effect-no\\\" data-id=\\\"94f7dbe\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-5b72d01 jltma-glass-effect-no elementor-widget elementor-widget-spacer\\\" data-id=\\\"5b72d01\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"spacer.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-spacer\\\">\\n\\t\\t\\t<div class=\\\"elementor-spacer-inner\\\"><\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-431ddf5 elementor-section-full_width elementor-reverse-mobile elementor-reverse-tablet elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"431ddf5\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e5de92a jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"e5de92a\\\" data-element_type=\\\"column\\\" data-settings=\\\"{&quot;animation&quot;:&quot;slideInUp&quot;}\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-cf0efd6 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"cf0efd6\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Analytics<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e3ba46f jltma-glass-effect-no\\\" data-id=\\\"e3ba46f\\\" data-element_type=\\\"column\\\">\\n\\t\\t\\t<div class=\\\"elementor-widget-wrap elementor-element-populated\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6e63c1f elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"6e63c1f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-aa43692 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"aa43692\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">We Process member enrollment and claims data to third party system to calculate HEDIS measures for QARR reporting and STAR Rating\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-3d7efa9 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"3d7efa9\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-b1b57d7 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"b1b57d7\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Create system to send demographic and claims data for 3M CRG to measure the risk associated to each member to predict future health care utilization and cost (prospective) and explain past health care utilization and cost (retrospective)\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-b1ec04e elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"b1ec04e\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-10c2e89 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"10c2e89\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Analyze and created HCC gap analysis to determine the members with chronic conditions and need provider\\u2019s attention.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-736aebd elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"736aebd\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-f1b146f jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"f1b146f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Create a member 360 dashboard that can help the business users to understand the complete health profile of members and focus on people with chronic illness.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-97d0e9d elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"97d0e9d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-db317e6 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"db317e6\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Create an analytical platform for customer care representatives for tracking the real time member information and provide services to members efficiently.\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-bb820e1 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"bb820e1\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-1e3ba9d jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"1e3ba9d\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Create vendor data marts to perform quick analytics on top of huge claims data related to various vendors.<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-f849b3f elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"f849b3f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-98e5c75 elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"98e5c75\\\" 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class=\\\"elementor-spacer-inner\\\"><\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t<\\/section>\\n\\t\\t\\t\\t<section class=\\\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-267e4f6 elementor-section-full_width elementor-reverse-mobile elementor-reverse-tablet elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\\\" data-id=\\\"267e4f6\\\" data-element_type=\\\"section\\\" data-settings=\\\"{&quot;background_background&quot;:&quot;classic&quot;}\\\">\\n\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-container elementor-column-gap-default\\\">\\n\\t\\t\\t\\t\\t<div class=\\\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-35ecc8a jltma-glass-effect-no elementor-invisible\\\" data-id=\\\"35ecc8a\\\" data-element_type=\\\"column\\\" 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class=\\\"elementor-element elementor-element-f8f2b01 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"f8f2b01\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-4444ef5 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"4444ef5\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Regression Testing \\u2013 automation of FACETS batch jobs\\n<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6b5542f elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"6b5542f\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-6e94d58 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"6e94d58\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t<h2 class=\\\"elementor-heading-title elementor-size-default\\\">Performance Testing \\u2013 batch jobs testing and load testing<\\/h2>\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-3dc8c81 elementor-widget-divider--view-line jltma-glass-effect-no elementor-widget elementor-widget-divider\\\" data-id=\\\"3dc8c81\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"divider.default\\\">\\n\\t\\t\\t\\t<div class=\\\"elementor-widget-container\\\">\\n\\t\\t\\t\\t\\t\\t\\t<div class=\\\"elementor-divider\\\">\\n\\t\\t\\t<span class=\\\"elementor-divider-separator\\\">\\n\\t\\t\\t\\t\\t\\t<\\/span>\\n\\t\\t<\\/div>\\n\\t\\t\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<\\/div>\\n\\t\\t\\t\\t<div class=\\\"elementor-element elementor-element-2611539 jltma-glass-effect-no elementor-widget elementor-widget-heading\\\" data-id=\\\"2611539\\\" data-element_type=\\\"widget\\\" data-widget_type=\\\"heading.default\\\">\\n\\t\\t\\t\\t<div 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MANAGED SERVICES

FACET Configurations

Our EPIC EMR FACETS configuration helps in implementing and managing the FACETS platform to reduce planned administrative costs, improve business processes and deliver better value for care management solutions.  We have deep expertise across all the modules of FACETS healthcare application. We have integrated the platform with other systems in the client application landscape. We have developed automation and analytics capabilities around FACETS systems to help you in your digital transformation journey and be future ready. Simultaneously, we offer cost-effective managed services on the EPIC EMR FACETS platform to take care of day-to-day administrative tasks.

FACET Configurations we focus on

Enrollment

Perform member assessments, enrollments, health homes billing for Medicaid Health and recovery plan.

Automate member eligibility rules for Medicare Special Needs Plan (SNP) and Medicaid Health and Recovery plan.

Identify all Medicare SNP members who had 90-days assessments and 365-days reassessments.

Extract Member eligibility information from FACETS and generated enrollment files in HIPAA 5010 EDI 834 for Medical, Dental and Vision vendors.

Billing and Payments Reconciliation

Integrate our client’s systems with third party payment system which allows members to set-up recurring payments and make premium payments online seamlessly from member portal.

Process all premium bills to third party payment gateway to accept and process payments to member accounts.

Reconciled member actual deposits from the exchange which includes subsidies for Advanced Premium Tax Credits (APTC) and Cost Sharing Reduction (CSR) against HIPAA EDI 820 policy-based payment notifications.

Claims & Encounters

We Validate and auto adjudicated Professional (837P), Institutional (837I), Dental (837D) and Pharma (NCPDP) claims from various provider networks / vendors and processed response in HIPAA EDI 277/835 form.

We Integrate Clients systems with third party vendor to process EDI 278 pre-authorization requests from providers in real time.

Extract and submitted all post adjudicated Medicaid claims (Medical 298P/299I, Dental 300D, Vision and Pharmacy NCPDP) State’s All Payer Database and improved state acceptance rate by fixing state exceptions – these will be used to calculate capitation rate and to identify the clinical areas for improvement.

Reconciled encounters submissions against state responses and generated discrepancy report

Processed Medicare Advantage members post adjudicated claims data to CMS Risk Adjustment Processing System (RAPS) and CMS Encounter Data Processing System (EDPS) for risk score calculation.

We Collect member information from Charge sheets (part of Medicare charge sheet review) and validated against Clients FACETS system to process linked and unlinked claims accurately.

Risk Adjustment

We analyze Risk Adjustment initiatives by analyzing the encounters and extracting data for chart review.

Performed data aggregation, validation to obtain the suspect list and created reports to analyze the priority of suspect.

Create workflow for analyzing the supplemental codes and submitted to State, CMS, and EDGE as per the respective encounter information.

Analyze the response from government bodies and clear out the errors in the submitted claims to achieve more than 99% accuracy in submission.

Analytics

We Process member enrollment and claims data to third party system to calculate HEDIS measures for QARR reporting and STAR Rating

Create system to send demographic and claims data for 3M CRG to measure the risk associated to each member to predict future health care utilization and cost (prospective) and explain past health care utilization and cost (retrospective)

Analyze and created HCC gap analysis to determine the members with chronic conditions and need provider’s attention.

Create a member 360 dashboard that can help the business users to understand the complete health profile of members and focus on people with chronic illness.

Create an analytical platform for customer care representatives for tracking the real time member information and provide services to members efficiently.

Create vendor data marts to perform quick analytics on top of huge claims data related to various vendors.

Automation Testing

Regression Testing – automation of FACETS batch jobs

Performance Testing – batch jobs testing and load testing

Reusability of test data, case, and scripts

Collected member information from Charge sheets (part of Medicare charge sheet review) and auto validation against FACETS system to process linked and unlinked claims accurately.

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