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Functional Area
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Deployments
Live
Patient Notifications - No Show Letters
Registration
1
Pre-Registration Rate
1
Live
File Transfer - Rhapsody Influenza Files
Other
1
Other
1
Live
Authorization Status - NOA - ROI Calculation
Authorization
1
Initial Denial Rate
1
Live
Integration Monitoring
Information Technology
1
Not Applicable
1
Live
Appointment Cancellation - Deceased Patients
Scheduling
1
Percentage of Patient Schedule Occupied
1
Live
Voiding Claims - Facets
Claims Processing
1
Payer Operations
1
Live
Vendor Application For Gold Approval
Enrollment
1
Payer Operations
1
Live
Provider User Warning Messages
Claims Processing
1
Payer Operations
1
Live
Claims and Provider Entity Management for Terminated Providers
Provider Contracting
1
Payer Operations
1
Live
Hold and Release Claims for New Providers with User Warning Messages (UWM)
Provider Contracting
1
Payer Operations
1
Live
Coordination of Benefits - MARx Verification
Eligibility & COB
1
Payer Operations
1
Live
Group Information Card (GIC) Sales Card Underwriting Review
Underwriting & Group Management
1
Payer Operations
1
Live
Missing Medical Record Number (MRN) File Prep
Enrollment
1
Payer Operations
1
Live
Audit - Duplicate Claims - Facets
Claims Processing
1
Payer Operations
1
Live
Coordination of Benefits - Dual Eligibility Special Needs Plan (DNSP) Data Retrieval -Community Health Choices (CHC)
Other
1
Payer Operations
1
Live
Claims Adjustments - Reconsiderations
Claims Processing
1
Payer Operations
1
Live
Claims Processing - Provider ID Assignment - Facets
Claims Processing
1
Payer Operations
1
Live
Coordination of Benefits - Primary Payer Adjustments
Eligibility & COB
1
Payer Operations
1
Live
Coordination of Benefits - Medicare Secondary Payer (MSP) Validation
Eligibility & COB
1
Payer Operations
1
Live
Coordination of Benefits - No-EOP (Explanation of Payment) Claims
Eligibility & COB
1
Payer Operations
1
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