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Payer Software
Subject Expert
Associated Market Segments
Care Management Solutions (Payer)
Stand-alone vendor solutions designed to provide analytics and workflow capabilities to help healthcare payers manage and...
Customer Relationship Management (CRM)
Systems that manage patients' contact data by contacting, organizing, and managing potential and current clients, much like...
Payer Claims & Administration Platforms
Core claims/ administration systems used by health plans to process and pay (adjudicate) claims, enroll health plan members,...
Payer Quality Analytics
Vendor solutions used by health plans to measure and report performance on quality of care, i.e. fulfilling regulatory...
Risk Adjustment and Analytics
Risk adjustment and analytic products provide methods and techniques for identifying high risk members/patients along with...