Xcelys Claims

NJ030531 PRO NEW ENG NJ 06 15 - WellCare
APPOINTMENT ACCESS AND AVAILABILITY AUDITS WellCare is required by the Centers for Medicare & Medicaid Services (CMS) and state regulations to administer ... View Document

AG G. TUDENT 502 E. Boone Avenue | Spokane, WA 99258
♦ Created over 300 individual transition plans for resources impacted by new claims system ♦ Xcelys ♦ Health Connect ♦ PL/SQL : P: ROFESSIONAL : C: ERTIFICATIONS, M: EMBERSHIPS & R: ECOGNITIONS ♦ MBTI (Myers-Briggs Type Indicator) ... Access Doc

WINDSORI - WellCare
PROVIDER CLAIMS SUPPORT INITIATIVE Windsor’s provider network plays an important role in ensuring members receive quality health care in a timely and cost-effective manner. ... Read Here

Increasing Cash Flow And Reducing Expenses With New Revenue ...
Increasing Cash Flow and Reducing Expenses with New Revenue Cycle Management Technology With Xcelys software for RCM, may reduce the time required to process claims and increase payment turnaround. ... Get Doc

Overview Of The Insystech Health Analytics Team Capabilities
Overview of the Insystech Health Analytics Team Capabilities • Core Claims Adjudication Systems Development and Maintenance • Provider Contract Management; Dell Xcelys, MS Project Project Title: Shield Advance ... Retrieve Document

Member Health Information Portal (HIP) GUIDE
Member Health Information Portal (HIP) Guide Xcelys Version 6.3 Proprietary and Confidential Page 2 Document version: 3.0 Statement of Confidentiality Track claims, amount approved, amount paid, and your cost. Track authorizations for service. ... Fetch Document

Provider PULSE VOL. 5 ED. 1 Pulse - New West Medicare
PULSE VOL. 5 ED. 1 Announcing the First New West Healthcare for Montanans Scholarship Recipients INSIDE THIS ISSUE: claims platform, Xcelys the end of April. New West has used a Perot system, the Diamond 950 for about seven years. ... View This Document

Module 1: FL Medicaid Claims & Encounters Overview
In WellCare’s claims platform, Xcelys. Encounter: •Services provided by WellCare, or its providers, are required to be reported to state/federal entities as •Paying claims has taken a higher priority than getting encounters accepted with the State. ... Read Content

Perot Systems - Wikipedia, The Free Encyclopedia
Perot Systems was an information technology services provider founded in 1988 by a group of investors led by Ross Perot and based in Plano, Texas, United States. ... Read Article

CHARLES HARRY MORRISON
CHARLES HARRY MORRISON PHOENIX, ARIZONA Cell Phone - (480) 261-1502 I am fully competent in all Facets and Diamond / Xcelys system modules; claims and worked with a customer team to enhance the Diamond configuration needed to improve ... Access Doc

MEDICAID QUALITY IMPROVEMENT PROGRAM DESCRIPTION - WellCare
MEDICAID QUALITY IMPROVEMENT PROGRAM DESCRIPTION WellCare of Florida, Inc. dba Staywell Health Plan of Florida . 1 Xcelys® EMMA Claims System Xcelys® Surround Other Technical Resources and Commercial Programs Microsoft® Office Suite ... Read Content

New West Health-rprt
New West Health Services SPOTLIGHT toChoose W claims, premium billing, enrollment, and cus-tomer service. to the Xcelys 5.0 system, the company made a conscious choice to maintain customer service operations locally in Montana. Live voices ... Access Full Source

Colorado Claims Payment System Update - Kaiser Permanente
Colorado Claims Payment System Update . We implemented this new automated claims payment system -- known as Xcelys TM -- as the first step toward enabling members and providers to view claims and EOB statements online, In the future we anticipate members ... Fetch Here

Claims Processing System Transformation FAQ
Rev. 6/20/13 Claims Processing System Transformation FAQ Page 2 of 6 Independence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, ... View Doc

Rate Setting For Capitated Medicaid Managed Longg Term ...
Rate Setting for Capitated Medicaid Managed Longg Term Supports and Services (MLTSS) January 9 2013January 9, 2013 Maria Dominiak, FSA, MAAA ... Get Content Here

Medicaid Managed Care Questions And Answers
Medicaid Managed Care Questions and Answers WellCare The KMA has presented each of the three new Managed Care Organizations hired by the state ... Fetch Document

Medicare Advantage Special Needs Plan Model of Care . H5826 Community Health Plan of Washington SNP Dual Model of Care (Rev C) Page 2 of Administrative Interventions like improving address management in Xcelys the Plan claims transaction processing system ... Read More

A NOTEF - WellCare
Harmony Health Plan, a WellCare company, requires all institutional providers to submit all non-APL outpatient claims or encounters by 5010 ANSI X12 837P electronic data interchange (EDI) submission or paper CMS 1500 02/12 submission ... View Full Source

QNXT System INTRODUCTION By ELearningLine @848-200-0448 - YouTube
QNXT System INTRODUCTION by ELearningLine @848-200-0448 Addiox Technologies LLC. • Xcelys ™ Category Introduction to Medicare - Claims Data: Source and Processing - Duration: 47:28. ResDAC 5,053 views. ... View Video

Healthcare IT Training - Claims Adjudication Process Training ...
Claims model(Institution ,Professional, Dental and Pharmacy) Claims Adjudication Claims Engine (FACETS )Data Model MODULE 9. Healthcare Insurance History of Managed HealthCare Managed Care Organizations & Models Consumer Directed Health Plans ... View Video

Medicaid Rate Setting 101 - American Academy Of Actuaries
Medicaid Rate Setting 101 Capitation Rate Development Process and Considerations June 16, 2011 American Academy of Actuaries Medicaid Work Group. For both Claims and Administration, requirement of Medicaid Services for Medicaid Eligibles ... Read Content

Facets Training Curriculum By ELearningLine @848-200-0448
Facets Training curriculum by ELearningLine @848-200-0448 Addiox Technologies LLC. • Xcelys ™ Category Claims Adjudication Process training by ELearningLine @848-200-0448 - Duration: 5:11. ... View Video

February 2012 • Volume 1 • Number 1In this issue In this issue page 2012 Updates • Disability Lifeline transition to Medical Care Services 2 the claims system (Xcelys); the Care Management Portal (Jiva); and our internal data mart. ... Fetch Document