Prism Healthcare Resource
Curated by SignalSoftware and services for claim analysis and provider network analysis
Overview
Prism Healthcare Resource provides software and services for claim analysis and provider network analysis. It also offers provider managed care services to handle managed care agreements from establishing fee goals to negotiating with managed care plans to ongoing contract management.Claim Overpayment Audit Software is a data mining tool that analyses historic claim payments that can help identify missing information, detect recurring claim payment errors and anomalies, and discover incorrectly paid claims that are recoverable from providers and other plans. Provider Network analysis can help determine coverage adequacy, assess the effectiveness of a provider network relative to covered benefits, dDetermine if a network has cost effective providers, compare relative negotiated fee levels, identify current provider utilization patterns and evaluate if a specialty carve out network is needed for certain categories of services.
Key facts
- Founded
- 2003
- Headquarters
- Detroit, United States
- Stage
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- Industry
- Health Technology
Business model
- 6 products and services
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Contact
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