We partner with organizations that are integral to supporting the healthcare industry and helping it to thrive. You will find our presence at meetings, conferences and online, sharing over 30 years of internal knowledge for the greater good of the entire industry.
We are proud to partner with the following organizations:
A&G Healthcare Services has been an established leader in the medical claims cost containment industry since 1995 based in Plano, TX. A&G offers state-of-the-art technology, including PlutoX, a platform for REAL-TIME Claims Editing, Error Detection, Fraud Waste & Abuse. Specializing in out-of-network medical claims and has one of the largest networks in the USA utilizing medical bill reviews, fee negotiations and a proprietary nat'l travel wrap network, Amera-Net. Reference based pricing and a Nat'l U&C Database available. Services TPA's, health plans, self- insured companies, unions and reinsurers across the country. Our newest Service, PlutoXPay, is a virtual credit card and virtual check payment solution offering better technology that the payer controls.
Enabling the future winners of consumer directed healthcare; helping clients win a rapidly changing marketplace with the industry’s largest & most comprehensive consumer healthcare funding platform.
Supporting more than 30 million consumer lives and 225,000 employer groups; more than 15.3 million active payment cards; Processing more than 9.1 billion in healthcare payments annually; and servicing more than 40% of the benefit accounts in the Market.
Baseload is committed to providing cutting edge solutions for our clients that significantly reduce operational costs and increases auto-adjudication rates. We put all our focus and energy on provider information enabling us to become the standard for provider data.
Change Healthcare is a key catalyst of a value-based healthcare system – working alongside customers and partners to accelerate the journey towards improved lives and healthier communities. Change Healthcare and Eldorado have been partnered for 20 years to provide solutions that help customers gain efficiencies, reduce costs, and streamline processes while lowering the overall cost of healthcare. Member engagement solutions transform legacy member correspondence into meaningful interactive channels that grab the member’s attention and compels them to act. Integrated payment solutions offer the broadest array of payment tools in the industry to help transform the payment process. Payment integrity solutions combat many of the ways that payers are at risk for payment of improper claims and help identify inappropriate claims before they are paid.
Context 4 Healthcare is a leader in payment integrity and reference based pricing technologies. Our industry leading UCR, Medicare pricing and master data impact more than 4,000 clients and tens of millions of lives. Our cloud based, FedRAMP compliant solutions support Medicaid, Medicare and commercial lines. Context 4 Healthcare, your innovation partner since 1988.
DataCodes partners with the builders of Benefits Management Systems & Claims Payment Systems, applications which are used by clearinghouses and payers, to provide the standard industry codes which must be regularly updated and their use licensed with appropriate copyright holders. DataCodes provides these services with HIPAA mandated code sets and more for HEALTHpac and Javelina clients.
FAIR Health is an independent nonprofit that collects data for and manages the nation's largest database of privately billed health insurance claims and is entrusted with Medicare Parts A, B and D claims data for 2013 to the present. Known both for our committment to transparency and for making actionable data available in innovative ways to all stakeholders in the healthcare community.
At Healthx we empower the healthcare experience, helping people live longer, healthier lives while lowering healthcare costs by keeping payers, members, and providers connected. We build configured healthcare engagement solutions, deliver personalized experiences that drive cost savings, and improve quality of care. With Healthx, engaged members are healthier members, and healthier members significantly reduce healthcare costs.
JMS and Associates, Inc. is a global information management company that supports various Professional, Administrative, and Technical services to the health care community. From managing data entry claims, to developing custom software, we are the go-to for resource augmentation, and all needs in the medical claims industry. JMS specializes in streamlining claims adjudication and auditing, call center management, mailroom and scanning services, EDI and system configuration, plan building and testing, and 1099 validation, to name a few of the many services we offer. Our efforts in meeting the needs of the healthcare community have been echoed by our continuously growing reputation and partnerships with our clients.
Optum is a leading health services and innovation company dedicated to helping make the health system work better for everyone. With more than 94,000 people collaborating worldwide, Optum combines technology, data and expertise to improve the delivery, quality and efficiency of health care.
OpenText™ Analytics Suite helps organizations improve decision-making, gain operational efficiency and increase visibility by enabling IT to place interactive dashboards, reports, and data visualizations quickly into the hands of business users. Leveraging all your data—whether structured or unstructured, internal, CRM, big data, Internet of Things, or social media—in relevant, interactive visualizations, increases your opportunities for growth. OpenText™ (https://www.opentext.com/) is the leader in Enterprise Information Management, enabling the intelligent, connected business.
Preferred Medical Claim Solutions is a progressive transaction-based healthcare network dedicated to serving Providers, Payers and ultimately Patients by providing proven revenue cycle management solutions that reduce healthcare costs. Our products—PMCS Advance and PMCS Select—are specifically developed to manage out-of-network claim settlements.
Red Card improves the way health plans and TPAs connect with members and providers with innovative data management systems and integrated end-to-end healthcare communications. Provider payments, EOBs, enrollment materials, ID cards and marketing communications are efficiently managed via our proprietary DOCS® platform that features custom, full-color document designs. We’re challenging the status quo with clear, effective and cost-efficient healthcare communications. We are RedCard.
WEX Health simplifies the business of healthcare through WEX Health Cloud, a cloud-based healthcare financial management platform that drives efficiency for benefit administration technology, consumer engagement, and advanced billing and payments. WEX Health’s partner organizations deliver its industry-leading and award-winning solution to 300,000 employers and more than 25 million consumers across the United States and Canada.
Zelis Healthcare is a market-leading healthcare technology company providing integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers, healthcare providers and consumers in the medical, dental and workers’ compensation markets nationwide.