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At Addiox, we create solutions that provide concrete benefits for our clients. Just like the clients we assist, healthcare is our only business. Our exclusive focus and immense experience drive us to revolutionize and build solutions which reduce time-to-market, increase proficiencies and meet compliance and regulatory objectives. Learn how Addiox can provide the right solution for your healthcare business.

Our Product - CLAIMSplus

CLAIMSplus ensures excellence by enlisting our expansive software compatibilities and capabilities that align with medical insurance payment systems along with negating redundancies that slow payments down. Our robust electronic claims administration systems are tried and true, giving our clients the type of transparency and affordability that accelerate payments and get claims approved faster. Partnering with industry-leading Third-Party Administrators, insurance providers, employers and the like, CLAIMSplus reconciles billing discrepancies through automated adjudications that surpass industry norms, all the while boosting processes and healthcare payments that not only pay off—but pay fast.

Our comprehensive core claims administration solution is utilized by healthcare payers and TPAs who are serious about offering best-in-class advantages. The automated electronic tools developed by CLAIMSplus are designed to speed complicated healthcare claims.

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What can CLAIMSplus do for you?

CLAIMSplus Advantages

  • Expedited claims processing systems that cut down on claims administrators’ manual efforts.
  • Scalable networks that increase claims’ processing throughput, all the while placing you and your business on a robust path for growth.
  • A strong data analytics platform that supports data-intensive applications for real-time analyses, reviews and reports.
  • Fast claims eligibility processes through automated user tools including auto-calculate that propels processes and drives claim efficiencies.
  • Data connectivity that produces automated emails, letters, and all related claims correspondence.
  • Agile alignment of disability and leave claim information, including time used as well as time left.
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  • Enhanced processing accuracies due to split-second data scrubbing—cutting claims rejections way down!
  • Secure platform compatibility via complete processing integration for employee Disability and Absence claims.
  • Customized claims solutions engineered to expedite payments that are on time and on point.
  • FMLA and ADA claims sorting and processing that eliminates claims’ redundancy and inaccuracies.
  • Network-attached data storage (NAS) that combines distributed computing with sound claims processing software.
  • Staying put within one system as opposed to changing over between incompatible claims processing programs.

Healthcare Services and Solutions

WE SERVE:

1MEDICAL TECHNOLOGY
Medical devices – Quality management systems – Requirements for regulatory purposes, enables manufacturers to clearly demonstrate their compliance to quality and regulatory requirements, providing confidence to consumers and professionals worldwide. Addiox is helping these client beating the rapidly growing changes due to the regulatory changes. Also helping clients in closing the gaps in big data analytics, mobile health, cloud computing & integration along with clinical charting and predictive analytics. Medical technology companies.
2PROVIDER
In a rapidly changing healthcare industry, Addiox empower healthcare providers to advance operations and medical care by rationalization business processes and maximizing the value of technology investments. Our team is specialized in integrating the clinical data capture and reporting, improve care and reduce cost, helping provider by making the right choice in choosing the EHR application.
3PAYER
Addiox helping clients by re-engineering and improving on first pass rate for medical claims processing, improving communications directly to members, and simplifying documentation workflow. Helping our clients with implementations and version upgrades by resolving issues like provider load and contracting issues. Assisting them and handling large platform migrations from one version to another as well as one system to another system. Addiox will serve customers better and be well prepared for the Patient Protection and Affordable Care Act (ACA). Addiox provides enterprise-wide support to several solutions that designed to best meet the complexity and risk found in an ever-evolving health plan business environment. Equipped with the cutting edge technical experts necessary to fulfill the sophisticated processing of information/data. Addiox team provides many of the industry’s leading core claims administration and processing SME’s, for the several payer solutions such as Facets™, QNXT™, Exeter™, AMISYS Advance, Ingenix Claims editing software(iCES), PowerMHC®, PowerMHS® and PowerSTEPP. We’ll work with you to find the solution that supports your business and operation needs, not define them. Assisting clients in cost containment and increasing recoveries. Read more
4LIFE SCIENCE
Addiox work with a wide range of pharmaceutical and life sciences companies to address the major experiments they face in R&D, supply chain, sales and marketing across the full spectrum of corporate functions. We have made a profound commitment to understanding the forces shaping our clients’ businesses and developing industry-tailored solutions. We are helping CRO’s (clinical research organizations), Biotech companies, pharmaceutical vendors, Research organizations to support the regulatory need.

About us

Addiox is a healthcare consulting firm that specializes in developing technical and economic solutions that define product value to payers, hospital administrators, providers

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APPLICATIONS

TriZetto Facets™
TriZetto QNXT™
TriZetto NetworX Pricer™ & Modeler™
TriZetto HIPAA Gateway®
NASCO® – NPS®
NASCO® - MembersEdge®
HealthEdge®
McKesson ClaimsXten™

STAFFING

Trainers
Business Analysts (BA)
Program and Project Managers
SOA/Enterprise Architects
Infrastructure Engineers
Web and Application developers
EDI specialists
Interface and data conversion specialists
Database architects
QA Consultants
Report developers