SOFTWARE VENDORS  >  Health Plans & Managed Care Applications

Market changes of recent years, including the rise of consumer driven health plans, outsourced specialty based managed care, and chronic disease specific care management programs have resulted in significant changes in applications designed for managed care and payer organizations. Software companies that design and deliver applications for Health Plans and Managed care organizations must constantly adapt to the changing needs across all fronts in the healthcare industry and associated regulations (e.g., NPI).

Most Application vendors that serve Health Plans and Managed Care companies face timeline, skill and cost pressures which prevent adequately delivery on the multitude of requirements. CitiusTech’s expertise in Health Plans and Managed Care workflows and our global delivery model enable us to provide specialized development, testing and implementation services in a highly cost effective environment.

Examples of our services include:

• Support NPI conversion for clients - Payers, Clearinghouses

• Provide implementation support to client (custom maps, business rules & companion guides)

• Develop and implement systems for supporting claim attachments

• Medicare Part D

• Support for web-enabled revenue cycle transactions and workflows including HIPAA TCS

• Integration to popular third party Managed Care and Payer application platforms from McKesson, Edifecs, Trizetto, Amisys-Synertech, QCSI, etc.

• Integration to Clinical and Case Management Applications

• Development of reporting infrastructure and technologies to help customers with P4P, NCQA/HEDIS, and other reporting requirements

Please learn more about our software life cycle services for more details on how CitiusTech can help make your applications more competitive in the marketplace. Please contact us for more information.