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

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(732) 601-4757

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