Benefits administration system.Scalable to accommodate millions of members, Resolution is a benefits administration system that allows health plans and payers to converge onto a single system for all of their back-office administrative operations while using their existing IT. Built on HIPAA (Health Insurance Portability & Accountability Act of 1996, Public Law 104-191) Also known as the "Kennedy-Kassebaum Act," this U.S. law protects employees' health insurance coverage when they change or lose their jobs (Title I) and provides standards for patient health, standards using Java and J2EE (Java 2 Platform, Enterprise Edition) A platform from Sun for building distributed enterprise applications. J2EE services are performed in the middle tier between the user's machine and the enterprise's databases and legacy information systems. technologies, it is virtually platform and database independent. Features include single master databases, accommodation of multiple referrals for a single patient, layers of pricing algorithms, detailed business rules setups that can be applied to other benefit packages, flexible claim queues, automated matching of claims to existing and retroactively input referrals, support for current and anticipated ICD ICD International Classification of Diseases (of the World Health Organization); intrauterine contraceptive device. ICD abbr. and CPT CPT See: Carriage Paid To code sets, custom analytics to mine needed data, real-time productivity monitoring and reporting, and a browser based interface. OAO HealthCare Solutions Inc., Woodland Hills, Calif. www.rsleads.com/408ht-192 |
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