Healthcare

• EDI 4010 to 5010 conversion.

• ICD 9 to ICD 10 conversion.

• Legacy to distributed systems development.

• Medicare/Medicaid specific systems.

• Medicare Advantage (MA) Enrollment.

• Data warehouse systems for efficient reporting on claims/reconciliations/remittances/compliance reports

• Pharmacy benefit management systems dealing with Pharmacy(NCPDP) claims, reports and data warehouse systems related to PDE events to CMS.

• Handle CMS reports downloading, storing and distribution.

• Eligibility process and updates.

• Claim Clenching and processing