QicLink Extended Enterprise (QicLink  ) is an enhanced version of the most widely used, production-proven software engine for benefits administration. QicLink e2 is a comprehensive system that delivers rapid return on investment by maximizing auto-adjudication rates and reducing claims-processing costs.
The core QicLink e2 system manages key health-claim transaction processes, including membership, provider files, plan definition, and re-insurance. QicLink e2 is optimized for high-speed, automated processing and readily interfaces with third-party solutions as well as Web-based trading partners.
QicLink e2 Components Include:
- AutoDental
Integrates dental plan software with QicLink e2
- ClaimRules
Lets you quickly implement a procedure-driven plan and improve the consistency and efficiency of claims payment.
- ClaimWorkflow
Accepts claims/encounter data from multiple sources and in multiple formats and automates routing of claims and encounters.
- ClinicaLogic
A comprehensive, knowledge-based clinical-editing component that automatically checks medical claims during adjudication.
- Cost Containment
Provides numerous reports that meet your organization's strategic business requirements and cost-reporting needs.
- DataPiction 2.2
Enables employees who aren't IT experts to create reports that access data stored in separate directories within your QicLink system's source files.
- Dental Logic
Lets you develop your own dental claims processing rules for QicLink.
- Disability Benefits
Manages processing operations for short-and long-term disability benefits.
- HMO Management
Calculates capitation payments to primary care and specialty physicians.
- PPO Management
Offers all the administrative functions you need to process PPO benefits and reports and track discount information.
- Premium Billing
A fully automated premium-billing and accounts-receivable system that integrates with QicLink.
- Utilization Management
Enables you to track and coordinate the cost of - and access to - services across the healthcare continuum, for each verified illness or disability.
- Web Customer Service
Provides telephone-call logging, tracking and reporting capabilities as well as user-friendly access to correct information in the QicLink system.
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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