Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
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
No
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
Yes
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
Yes
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
Yes
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
No
Case Management
No
Claim Resolution Tracking
Yes
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