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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

Description

TradingHub's MAST software for trade surveillance is an advanced platform designed to detect market abuse based on risk rather than merely following conventional rules, aimed at global financial institutions for effective monitoring of trading activities and detection of questionable behaviors. By leveraging sophisticated mathematical models and market-impact analysis, it discerns trader intentions, identifies abusive practices across various products, minimizes false positives, and prioritizes alerts based on the severity of risks instead of adhering to fixed thresholds. Its capabilities extend to a wide range of asset classes, including OTC and fixed income markets, while it automatically adjusts to fluctuating market conditions to ensure that detection parameters remain relevant. Furthermore, MAST allows for customizable controls and reporting options through its Calculation-as-a-Service (CaaS) framework, enabling firms to adapt surveillance measures to meet their unique regulatory obligations and internal risk management strategies. This flexibility ensures that financial institutions can effectively safeguard against market abuse while aligning with their specific operational needs.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Virtual Benefits Administrator (VBA) Yes 

Integrations

Virtual Benefits Administrator (VBA) No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Context4 Healthcare

Founded

1988

Country

United States

Website

www.context4healthcare.com

Vendor Details

Company Name

TradingHub

Founded

2010

Country

United Kingdom

Website

tradinghub.com/trade-surveillance

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Product Features

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