D2Hawkeye Adds New Financial Management Capability to Product, D2HawkeyeExplorer; Analysis by 'Date Incurred' or 'Date Paid' Available in D2HawkeyeExplorer 3.5.1.Health/Medical Writers/High-Tech Writers WELLESLEY, Mass.--(BUSINESS WIRE)--Nov. 19, 2003 D2Hawkeye, the leading provider of web-based software and services for the self-funded health care Self-funded health care describes an arrangement whereby an employer provides health or disability benefits to employees by assuming the direct risk for payment of their claims for benefits. market, announced D2HawkeyeExplorer version 3.5.1, an upgrade of its health care business intelligence tool. Third Party Administrators, Case Managers, Physicians and Brokers have long used D2HawkeyeExplorer to look at claims data by the date it is incurred to achieve a thorough understanding of a patient's medical history and the course of treatment that has been provided. D2Hawkeye has now added the capability of looking at claims data by the date a claim was paid. This seemingly seem·ing adj. Apparent; ostensible. n. Outward appearance; semblance. seem ing·ly adv. modest enhancement provides
Brokers and TPAs the ability to analyze and report to their employer
groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents. the specific expenditures for a given time period.
"Through market feedback, we learned that although date incurred was of paramount importance for Case Management and medical review, users performing financial audits and providing financial reports wanted to concentrate on the date the claim was paid", commented Lisa O'Brien, Vice President of Business Services at D2Hawkeye. "This meets this client need and further solidifies D2HawkeyeExplorer's position as a comprehensive medical management software product." "This is a great addition to their product," said John Orebaugh, President of First Florida Insurers, a broker in Tampa, Florida “Tampa” redirects here. For other uses, see Tampa (disambiguation). Tampa is a United States city in Hillsborough County, on the west coast of Florida. It serves as the county seat for Hillsborough County.GR6. . "First Florida has been selling D2Hawkeye extensively for their audit capabilities, the additional ability to view claims on a 'Date Paid' basis will greatly enhance D2HawkeyeExplorer's analytics and reporting capabilities." D2HawkeyeExplorer takes datasets from multiple data sources - practice management systems, insurance claims systems, disease management systems, utilization management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan. systems and pharmacy pharmacy, art of compounding and dispensing drugs and medication. The term is also applied to an establishment used for such purposes. Until modern times medication was prepared and dispensed by the physician himself. In the 18th cent. benefit claims management systems - and integrates the information into a comprehensive relational database relational database Database in which all data are represented in tabular form. The description of a particular entity is provided by the set of its attribute values, stored as one row or record of the table, called a tuple. platform that contains thousands of pre-programmed algorithms. These proprietary data-mining algorithms and query tools quickly give managers a bird's eye view of the information landscape, enabling both medical management opportunities (predictive modeling, risk profiling, case management), financial management opportunities (claims audits, eligibility issues, vendor performance) and extensive reporting. About D2Hawkeye D2Hawkeye is dedicated to the innovative design and development of web-based medical management software and services. The company offers health care business intelligence via their pioneer product, D2HawkeyeExplorer, as well as consulting and professional services (job) professional services - A department of a supplier providing consultancy and programming manpower for the supplier's products. to provide their clients with a comprehensive understanding of health plan costs and quality issues. With headquarters in Wellesley, Massachusetts Wellesley is a town in Norfolk County, Massachusetts, United States. The population was 26,613 at the 2000 census. It is best known as the home of Wellesley College and Babson College. , D2Hawkeye provides products and services to physician groups, employers, benefit consultants, and Third Party Administrators throughout the country. For more information, please visit the Company website at www.D2Hawkeye.com. D2HawkeyeExplorer and D2Hawkeye are trademarks of D2Hawkeye. |
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