What can PHP’s technology solutions do for your claims processing needs?
Across the health care industry, cost and quality are paramount. From handling paper claims, to setting up EDI processes, to pricing highly complex provider agreements and adjudicating intricate benefit plans…PHP’s technology solutions provide a variety of options to meet the ever increasing demand for cost containment and superb quality. PHP works with dozens of companies to enhance and automate complex processing requirements, and we build that expertise into our technology to help you succeed.
- Claim Pricing and Adjudication Services (learn more) - ECP is Preferred Health Professionals’ proprietary claim processing platform which allows us to process health and work comp claims with a turnaround time of less than one (1) day. The flexibility of the application allows us to customize the system to meet your specific needs. A Software as a Service (SaaS) offering, we handle development, support and maintenance so you can focus on your critical business operations. Our experienced claim staff will even process your claims for you, if preferred. ECP is accessible anywhere there is an available internet connection thanks to our secure, web-based Citrix delivery system. Your data is kept safe and backed up at our Tier 3 data center located in a separate facility in eastern Kansas City.
- EDI Translation Services (learn more) - Our extensive experience in creating and processing Electronic Data Interchange (EDI) transactions gives us the advantage of having “been there, done that”. We process well over a million transactions a year. We can perform 837, 834 and 835 conversions, submissions and pickups. EDI translations can be generated from, or to, proprietary formats. With the worry of translation out of the way, our clients have the ability to focus on their business and let us do the work.
- Paper Document Conversion Services (learn more) - Our proprietary Optical Character Recognition (OCR) process allows us to convert paper into data, including paper claims to ANSI X12 837s. Our process allows you to scan paper documents from your office and automatically upload them into our system. The data is returned to you in the desired format, including electronic images. Our low cost, high quality OCR process drives real savings on the backend by reducing data errors. This means you don’t have to spend your time and money dealing with issues like failed processes, pricing errors or incorrectly applied benefits.