| Partners |
 |
Enhancing the value of the LuminX product family are the products of our Strategic Alliance Partners.
 |
AdminiSource
provides technologically advanced,
cost-effective and comprehensive paper- and electronic-based
output solutions that include: Check Processing, Explanation
of Payments, Billing, Correspondence, ID Cards, Government
Tax Form Processing and eBusiness Solutions. These critical
business communications require timeliness, accuracy and
a clear audit trail. AdminiSource can make the difference
to your bottom line and help move your business forward. |
| |
|
 |
Bloodhound
is an application service provider
specializing in medical claims overpayment protection services.
Bloodhound’s flagship product, ClaimsGuard™,
safeguards HMOs, TPAs and other at-risk healthcare payers
from overpayment due to duplicate claims and other complexities
resulting from processing large volumes of data through
traditional claims payment systems. |
| |
|
 |
Captiva
claims management software helps
you reduce operating costs, increase accuracy and improve
customer service. In medical claims processing, managing
a mountain of paper forms is all in a day's work. To minimize
the costly and time-consuming process of manually handling
thousand of claims or more each day, leading companies use
ClaimPack from Captiva Software Corporation. Captiva provides
input management solutions that optimize the processing
of information across the enterprise. |
| |
|
 |
CareVu
specializes in providing clearinghouse
services, PPO connectivity services, and scanning/ OCR services
to many LuminX clients all around the country. Our pricing
structure, low transaction fees, and Web portal services
will give you a competitive advantage. Let us show you how! |
| |
|
 |
Coalition
America, Inc. (CAI) is
the leader in medical claim savings utilizing proprietary
technology, PPOs and negotiations to deliver significant
discounts on group health and workers' compensation medical
bills. Payors interface with CAI through HIPAA compliant
EDI or the Internet to reprice in-network and out-of-network
medical claims. CAI directly services over 300 clients representing
more than 12,000 businesses nationwide, offering a one-stop
solution for discounting medical bills while reducing administrative
costs through technology. CAI has saved its clients over
600 million dollars since its inception in 1995. |
| |
|
 |
Emdeon
Business Services emdeon
is a proven provider of claims and payment management solutions
that increase efficiencies in the healthcare system –
helping healthcare payers and Preferred Provider Organizations
(PPOs) improve efficiencies while lowering administrative
costs. For more information, visit www.emdeon.com. |
| |
|
 |
Evolution
Benefits, Inc. headquartered
in Avon, Connecticut, began operation in 2002 with a commitment
to supporting the movement toward greater consumer choice
in and responsibility for employee benefits. Its primary
product, the Benny® Prepaid Benefits Card, applies advanced
payment technologies and pioneering electronic substantiation
methodologies to FSAs, HSAs, HRAs, and Qualified Transportation
Accounts, creating a bridge between traditional benefit
structures and the evolving consumer-directed benefits movement.
Evolution Benefits now powers the programs of more than
80 managed care and administrative services organizations
and covers more than 3,000 employers, including 40 of the
nation’s top-ranked Fortune and Forbes companies. |
| |
|
 |
Ingenix
offers powerful health intelligence
solutions that help realize new operational efficiencies:
Our relativity-based and actual charge data modules (MDR™
and PCHS®) work with your in- and out-of-network claims
adjudication system to help contain costs. CES, a claims
edit system, provides automated, consistent and accurate
editing across all providers. |
| |
|
 |
JMS
& Associates provides
claim payors with an end-to-end claims processing solution
that includes mailroom services, scanning paper-to-EDI,
claim image hosting & retrieval, claim editing, claim
repricing, eligibility and provider verification, claim
adjudication, claim auditing, and provider maintenance updates. |
| |
|
 |
MBI
Benefits A
Metavante Healthcare Payments Solutions company, offers
a consumer-directed health benefits payment platform plus
the country's #1 employee benefits card - electronically
accessing FSAs, health reimbursement arrangements (HRA),
health savings accounts (HSA), transit/parking accounts
and dependent care accounts. Metavante provides medical
identification cards, combination eligibility/payment cards,
and the ability to access multiple benefits accounts from
a single card. Metavante also provides a comprehensive payment
platform that provides all the technology a financial institution,
health insurance company, third-party administrator, or
commercial business needs to offer these accounts. |
| |
|
 |
MCFG
Medical Claims Funding Group accelerates
out-of-network, medical claim settlements between healthcare
providers and insurance carriers, third party administrators
and self-funded employers. By contacting each Provider directly,
and using the Advance Funding method, MCFG is able to access
discounts from more Providers and extract larger discounts
than competing methods. The MCFG process typically creates
increased net savings for clients. Additionally, all transaction
discounts with the Provider and associated transaction costs
are available real-time, 24 x 7, via the MCFG Web Reporting
Module. |
| |
|
 |
NHBC
provides Total Savings Solutions
that have been reducing healthcare costs while providing
superior customer service for payors since 1987. NHBC assists
payors to achieve their goals by offering cost containment
without sacrificing quality. NHBC's strength lies in its
ability to partner with their clients to provide innovative,
flexible programs that deliver significant savings and real
value. True savings and operational efficiencies are provided
through their full suite of services. |
| |
|
 |
Preferred
Medical Claim Solutions Pioneered
the concept of purchasing medical receivables in 1987. Self-funded
payors, TPAs, insurance companies and HMOs nationwide have
discovered an experienced partner that successfully reduces
costs on medical claims from virtually all types of providers:
hospitals, physicians and ancillary services. |
| |
|
 |
PHX
PHX delivers advanced cost management
solutions for health plans. The company combines claim processing
automation with professional services to deliver centralized
approach to cost management, increasing savings in both
the near and long term while dramatically reducing errors
and turnaround time. The firm’s solutions are used
by a number of the industry’s leading insurance companies,
Health Maintenance Organizations (HMOs), and Third Party
Administrators (TPAs). Services included in the PHX offering
include bill review and audit, secondary network re-pricing
/ claims negotiations, claims editing, fraud and abuse detection,
and health benefits trend analysis and reporting. All services
are handled are in-house for maximum privacy and legal and
regulatory compliance. PHX also supplies full technology
implementation, training and support for quick, seamless
integration into any organization. Visit
www.phx-online.com
for more information. |
| |
|
 |
PPHA
As a healthcare management company,
PPHA's mission is to maximize the health of our members.
The power of integrating on-site wellness and health screenings,
disease management, case management and utilization management,
translates into client convenience and an empowered consumer.
Savings and outcomes are tracked for physicians, members,
and our clients. Three in one! Physicians, PPHA, and the
member all use the same self management tools. The elegance
of efficiency! Now that's being on the same page. |
| |
|
 |
TC3
provides integrated loss control
solutions on a pre-payment basis that allow healthcare payers
to avoid payment errors and claim overpayments, reducing
overall paid claims by 5-10% annually. Our core competency
is to maximize claim savings for our payer clients through
the delivery of an integrated loss control solution for:
(1) the detection and prevention of provider fraud and abuse,
(2) clinical code edit compliance, (3) PPO network optimization
and (4) out-of-network bill management. Our services provide
a low risk solution (all contingency fees) and immediate
payback through realized savings, improved billed charge
to paid claims ratios, while streamlining the claims payment
process. |
| |
|
 |
The Phia
Group, LLC
Headquartered in Braintree,
Massachusetts, Phia is an experienced provider of cost
containment strategies offering personalized service,
legal expertise and innovative technologies. The company
represents third party administrators, self-insured companies,
insurance carriers, and reinsurers, servicing their subrogation,
reimbursement, and overpayment recovery needs. Their proprietary
software, The Phia SystemTM, analyzes claims, streamlining
recovery efforts through advanced technology.
The Phia Group's services include
plan document review, claim analysis, plan exclusions
and coordination of benefits. Based on its motto “A
Passion for Subro,” The Phia Group has become one
of the fastest growing subrogation companies in the nation.
For more information about The Phia Group, please visit
www.phiagroup.com.
|
|
| |
|
|