The Q/Care™ Health Plan/Claims Administration System from Infocrossing Healthcare Services, Inc. streamlines the day-to-day business process for a wide variety of healthcare payors, including managed care organizations, HMOs, PPOs, Medicaid programs and indemnity plans. As one of the market's first rules-based solutions, it can be easily customized to specific requirements, and can be scaled to over 10 million members. The system is available via service bureau contract or perpetual license agreement.
Web interface for real-time operation:
You can submit information to, and view information from, the Q/Care system via the easy-to-use web interface. Everything from accessing claims, to verifying eligibility, to entering pre-authorizations, is managed in real time.
The system covers a sweeping range of benefit and claims processing requirements, including security and audit, membership, provider and provider contracts, customer service, claims and encounters, and employer group.
Enhanced HIPAA support:
The Q/Care system offers an integrated HIPAA and multi-partner electronic data interchange (EDI) solution that supports HIPAA-mandated transactions, security and privacy.
eServices Group's XJSeries™ ties the solution together with web services. It enables Q/Care to interoperate and communicate with web users, wireless devices and outside systems