Capital District Physicians Health Plan Implements AMISYS Advance; Functionally deep payer software from ASI administers members of New York's leading health plan.ROCKVILLE, Md. -- Capital District Physicians' Health Plan (CDPHP) has successfully implemented the AMISYS Advance payer software system, an enterprise-wide and functionally rich application from ASI ASI, n See Anxiety Sensitivity Index. that provides health plans with comprehensive administrative capabilities. CDPHP, a health benefits services provider serving 377,000 New York state residents, has recently begun processing claims using the industry-leading AMISYS Advance application. The application supports CDPHP's complete range of insured business, including claims, enrollment, billing, utilization review and call centers. "As a data-driven organization, CDPHP has always considered AMISYS to be a very highly functional claims processing system," said Raymond Murphy, Senior Vice President, Technology and Operations and Chief Information Officer, CDPHP. "With the recent upgrade to AMISYS Advance, CDPHP's systems now run on an industry standard technology platform that will provide us with the opportunities to improve both the efficiency and effectiveness of our business." Al Gain, ASI's Vice President of Technical Services, said that the collective dependencies and established goals shared by CDPHP and ASI fostered a strong working relationship that led to a successful implementation. "This is another example of solid business partnership in action," Gain said. "ASI and CDPHP partnered together with commitment, experience and collaboration to successfully complete the migration to AMISYS Advance." Though CDPHP performed many aspects of the migration themselves, the company did utilize ASI's Technical Services team for expert migration services, which included completion of environmental set-up, and data migration for core and custom databases. ASI's Technical Services team also supplied on-site migration specialists to ensure success throughout the implementation. AMISYS Advance delivers high claims first pass rates and provides health plans with the proven architecture required to successfully manage complex processing requirements. AMISYS Advance is part of ASI's broad product portfolio, which includes a uniquely consumer-centric care management system as well as a comprehensive consumer-directed healthcare administration offering. About Amisys Synertech Inc. (ASI) ASI (www.asihealth.com) advances health plan business through its industry-leading products and services. The company delivers comprehensive, mission-critical information management software products and Web capabilities that meet the needs of nearly every healthcare payer model. ASI also provides leading business process outsourcing Business process outsourcing (BPO) is the contracting of a specific business task, such as payroll, to a third-party service provider. Usually, BPO is implemented as a cost-saving measure for tasks that a company requires but does not depend upon to maintain its position in and application hosting for health plans, supporting a multimillion-member base through its claims processing and consumer-directed services. ASI has offices in Rockville, Md., Harrisburg, Pa., Dubuque, Iowa and Hyderabad, India. About CDPHP(TM) Founded and guided by physicians, CDPHP and its affiliates currently serve members in 29 counties throughout New York state and seven counties in Vermont. In 2005, CDPHP's HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, was ranked number one in member satisfaction for the seventh consecutive year by the New York State Health Accountability Foundation (NYSHAF NYSHAF New York State Health Accountability Foundation ), and was also rated the fifth fastest growing large company by the Albany Business Review. CDPHP's four affiliated companies include a family of products: Capital District Physicians' Health Plan, Inc.--AvidCare(TM), health maintenance organization (HMO); Healthy New York; Medicare Choice; Medicaid; Child Health Plus; and Family Health Plus. CDPHP Universal Benefits(R) --AchievaCare(TM), preferred provider organization pre·ferred provider organization n. Abbr. PPO A medical insurance plan in which members receive more coverage if they choose health care providers approved by or affiliated with the plan. (PPO PPO abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there ) and HSA High Deductible preferred provider organization (PPO); AdaptaCare(R) a point-of-service product (POS (1) See point of sale and packet over SONET. (2) "Parent over shoulder." See digispeak. POS - point of sale ); AttentiCare(TM), exclusive provider organization exclusive provider organization (EPO), n a dental benefits plan that provides benefits only if care is rendered by institutional and professional providers with whom the plan contracts (with some exceptions for emergency and out-of-area services). (EPO EPO see erythropoietin. EPO Erythropoietin, see there ). Capital District Physicians' Healthcare Network, Inc.--AssociaCare(R), self-insured plans; and APA (All Points Addressable) Refers to an array (bitmapped screen, matrix, etc.) in which all bits or cells can be individually manipulated. APA - Application Portability Architecture Partners, Inc.--third party administration (TPA (Transient Program Area) See transient area. TPA - Transient Program Area ). Visit CDPHP at www.cdphp.com. |
|
||||||||||||||
Printer friendly
Cite/link
Email
Feedback
Reader Opinion