Automation where it counts: Health Claims Processing
The PEHCS suite is a powerful claims software solution designed for insured plans. The main purpose is to automate health benefits administration by improving the accuracy and efficiency of processing healthcare claims. Streamline your business processes while improving service to your customers.
Customers will henceforth be able to receive a service from an approved service provider without delay and the service provider will be able to process claim automatically. All this culminates in our objective to provide you with a system that will help you increase sales by at least 10% and net earnings by say 15 to 20%.
Our powerful health claims technology supports multiple claim types on a single, easy to use platform. Achieve auto-adjudication rates that you didn’t think were possible and transform your operations into a paperless office for routine tasks freeing you to handle your top priorities.
With our claims software, you can reduce time, effort, and expenses while improving your efficiency and processes in managing claims related to:
How Our Claims Software Works
Automated Claims Processing
There are two levels of technology to consider—yours and ours. No matter what technology enhancement route you travel, the solution must seamlessly integrate multiple systems, platforms and processes to automate your claim processing workflow. Whether you have a legacy system that needs a complete overhaul or are looking to replace part or all of your manual processes, PEHCS has the automated claims management solution.
Automation Improves Outcomes
Automating a health claims operations has measurable payback. It profits the company when claims are processed quickly, accurately and routed to the right person for key decisions.
Integration Creates System Synergy
PECHS works because it has intelligent integration capabilities that can be incorporated into existing processes and workflow without the upfront infrastructure investment. We build our products so that they can be installed and running in a matter of weeks and so that they require minimal internal IT time. We integrate adjustments for your specified work rules and reporting requirements into the core system.
Cloud Platform Delivers Secure Solutions
PECHS utilizes industry accepted cloud-based applications to facilitate secure technology upgrades, solution enhancements. There is no new “version” to install or buy. You are always up-to-date and ready to capitalize on new software technology innovations and advancements. The Cloud allows PEHCS to continually test and refine for functional reliability and protection. Multiple backups and layers of security protocols protect your data.
You can choose an on premise Next Generation Solution, housed in your own data center, or choose our online hosting services. You never have to purchase, upgrade or maintain new servers again, all for one easy, budget-friendly service. Our optimized and secure servers give you the freedom to worry about other things besides purchasing and maintaining hardware.