How Data Science and Process Automation are Driving Efficient Medical Claims Administration
A study comprising 50 interviews with medical claims administrators with significant cost pressures to address in 2023
The Benefits of
Eliminates the need to integrate claims adjudicatoin, payment provisioning and communications functions
Eliminates the need for manual upgrades as it is cloud based.
Reduces subscription fees to levels typical of SAAS business support applications.
Ensures real time recording of changes in patient coverage status.
Provides multiple payment options from plans to provders.
Provides self service portals for coverage modification, approval of plan enrollment, and to monitor declined payments.
PRODUCTS
ioSoft Complete™
ioSoft LinkUp™
ioSoft Unified Payment System™
Payer Choice Technology™
Provider Choice Technology™
Payee Self-Servicing™
Total Electronic Remittance
The future is virtual™
Dcheck™
Patent Pending Process
Delivered through Secured Portal
Immediately Printed
Immediate Good Funds
Positive Pay Security
Saves Print and Mail Cost
Virtual Card
Patent Pending Process
Delivered through Secured Portal
Immediately Printed
Immediate Good Funds
Positive Pay Security
Saves Print and Mail Cost
EFTPlus ™
Patent Pending Process
Delivered through Secured Portal
Immediately Printed
Immediate Good Funds
Positive Pay Security
Saves Print and Mail Cost
it's not about us. it's about you.™
We design and implement health care payment technology for Payers, TPA's and Providers. If you are in the business of making health care, or pharmacy payments, your success is our primary goal.
We offer free implementation followed by a custom 60-day introduction
with significant savings and a seamless trouble-free transition to meet your needs.
CONTACT US
5151 South Mingo Road, Suite F
TULSA, OKLAHOMA, 74146
You benefit when there is simple, workable and useful technology facilitating the claims and settlement process.
BENEFITS
No Clearing House Fees to Providers
"PayMyWay"™ Provider Choice Pay™ at Presentment
Total Reconciliation and Auto-Reassociation of Payment and ERA
Self-Service Secure On-line Provider Portal™
Choice of Payment at Time of Presentment™
Choice of Data Delivery and Notification Methods
Upload and Download EDI 837/835 EDI 270/271
Simplified Pre-Payment Dispute Process™
Historical Data/Images Searchable by All Reference Data
Provider Choice Portal™
Our easy to use Provider Choice Portal™ gives Providers complete control over their payments method.
On-line Downloadable Remittance Advice and Same Payment in EDI 835 format
Upload and Download EDI 837/835 EDI 270/271
Choice of Payment at Time of Presentment™
Choice of Data Delivery and Notification Methods
Simplified Pre-Payment Dispute Process™
Historical Data/Images Searchable by All Reference Data
On-line Downloadable Remittance Advice and Same Payment EDI 835
As an io|soft user, ask us to customize your software.
BENEFITS
Upload and Download EDI 837/835 EDI 270/271
UPS technology provides seamless communication using the latest
advanced EDI processing to support the “conversation” between Payer
and Provider. Files move effortlessly through the portal achieving a cost
free data solution for both parties to the health care service/payment transaction.
Choice of Payment at Time of Presentment
Providers are always presented their preferred method of payment thus eliminating change of payment call-ins and friction.
Choice of Data Delivery and Notification Methods
Provider profile history always assures “best method” delivery of patient data and payment available notification.
Historical Data/Images Searchable by All Reference Data
Provider may “CHAT” with the payer regarding payment calculation prior to accepting a payment.
All CHAT conversations are stored in data files linked to the payment transaction. The conversation cannot be refuted.
Simplified Pre-Payment Dispute Process
Payment data is stored forever for the provider and the payer subject to rules of PHI
On-line Downloadable Remittance Advice and Same Payment EDI 835 may be available for the same payment
Independent Pharmacies are overwhelmed by PBM paper.
BENEFITS
Independent Pharmacy payments are costly for both the PBM and the pharmacy.
Some Independents report getting thousands of paper checks each month with MANY
THOUSANDS of pages of invoicing. This is a receivables problem for the
Independent and the PBM has huge print and mail cost
IOSOFT solves both sides of this problem with ERA's and Virtual Check
payments delivered through the Payee Portal to the pharmacy.
ERA in PDF format
EDI 835 format
Remittance Data files customized for the pharmacy for importing receivables
Eliminates ALL print and mail for the Payer
As, Social distancing and shelter in place orders are starting to come from our local city, county, and state governments.
We at iosoft would like to take a moment to go over some of the measures we have in place to ensure continued operations.
All of our systems are cloud-based. Meaning all of our vendors have built-in redundancies to ensure this or any other foreseen disaster can be weathered without any disruption in service.
We have IT Personal working in office to verify and maintain operations. All other members of our staff are working from remotely.
We hope this letter finds you well.
Please feel free to reach out to us if you have any questions or concerns.