NAPERVILLE — Health care industry software provider Context 4 Healthcare Inc. announced a partnership with DataGenix Corp., a provider of enterprise-class software systems for health care payers.
The partnership will enable DataGenix clients using the ClaimScape Health Claims and Benefits System to streamline their adjudication process while increasing claims auto-adjudication rates, increasing data accuracy and providing a faster, more efficient and precise process for their operation.
Context’s FirstPass claim editing solution has been seamlessly integrated with the latest version of DataGenix ClaimScape software. During the adjudication process, FirstPass utilizes real-time editing, firing rules containing millions of code combinations to identify CMS 1500 and UB-04 claims that are noncompliant, inaccurate, or require investigation for fraud, waste or abuse before they are paid and populate downstream applications.
“We are pleased to integrate our latest ClaimScape technology with our new partner Context 4 Healthcare,” said DataGenix CEO Mark Oja. “By combining our technologies, our customers can immediately send their claims for unbundling and editing, all in just seconds, while they are processing the claim. We are currently the only Claims Payment System with this real-time capability.”
Mark Earles, president and CEO of Context added the partnership “will allow our mutual customers to realize immediate savings through increased claims payment accuracy and advanced fraud, waste and abuse detection, all the while reducing overall administrative cost.”
Context develops software and data solutions to solve complex medical claim coding, editing and fraud related abuses. Context’s software and data solutions enable health care organizations to reduce claim errors, denials and claim-handling costs. More than 4,000 physician practices, hospitals, insurance carriers, third party administrators and managed care organizations currently use Context’s products.