QicLinkTM Extended Enterprise (QicLink  ) manages simple as well as complex plan designs and supports the administration of self-insured, PPO, HMO, Medicare and Supplemental Medicare, Medicaid, and multi-option point-of-service plans, as well as unique plan designs.
Plan set-up options enable administrators to customize co-pays, deductible and out-of-pocket amounts, and to set stop-loss maximums as well as co-insurance and benefit parameters. During adjudication, the system can also automatically assign appropriate benefit codes.
User-friendly data entry screens support multiple bill types, enabling clerks to quickly capture data. Screens include HCFA, UB-82, UB-92, Superbill, Medicare and ADA formats.
Claims transactions can be processed via standard online adjudication or automated batch adjudication. Online adjudication automatically selects benefits and payment calculation based on plan set-up, provider contacts and claimant coverage in effect when charges were incurred. Automated batch adjudication supports multiple input methods for claims/encounter data.
QicLink Extended Enterprise offers these important advantages:
- Automates benefits administration and transaction processing through proven technology
- Offers integration with advanced tools for Internet-enabled applications, consumer-oriented products and online connectivity services
- Can reduce manual labor, turn-around times and operating/administrative costs
- Provides a competitive advantage by supporting multiple, complex plan designs
- Supports HIPAA-compliance initiatives
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For more detailed information, please call 1-800-569-1222. |
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