Healthcare
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EDI 4010 to 5010 conversion.
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ICD 9 to ICD 10 conversion.
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Legacy to distributed systems development.
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Medicare/Medicaid specific systems.
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Medicare Advantage (MA) Enrollment.
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Data warehouse systems for efficient reporting on claims/reconciliations/remittances/compliance reports
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Pharmacy benefit management systems dealing with Pharmacy(NCPDP) claims, reports and data warehouse systems related to PDE events to CMS.
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Handle CMS reports downloading, storing and distribution.
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Eligibility process and updates.
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Claim Clenching and processing