QNXT

QNXT

We are helping plans to manage the claims inventory and maintain the effective first pass rate, QNXT support capabilities include:

  • Medical and dental claims processing
  • Manual Claims re-pricing
  • Capitation/risk fund management
  • Hospital and medical pre-authorization
  • Case Management
  • Implementation Assessments & Strategy
  • Project Planning & Management
  • Business Analysis / Requirements Definition
  • Process Design & Improvement
  • Customer service support
  • Premium billing support and customized reporting
  • Provider Network Management including minimizing the provider data load issues
  • Group/membership administration support
  • Referral management
  • Workflow Implementation
  • Claims Analysis, Payment Validation and Backlog Reduction
  • QA & Testing for QNXT migration and Implementation
  • Clinical Consulting / Care Management
  • Customized QNXT™ User Training
  • Post-Implementation Audits
  • Electronic data interchange

Addiox have the technical and functional specialization in all of the following modules:

  • Benefits & Contracts
  • Subscriber / Member
  • QNXT™ Case Management
  • Accounting, Billing & Commissions
  • QNXT™ Accounts Receivable
  • Capitation
  • Prior Authorization
  • Provider
  • Plan / Products
  • Business Rules and Workflow
  • Claims
  • Customer Service
  • QNXT™ ITS (Interplan Teleprocessing System)
  • QNXT™ Dental

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