Zenith’s ATLAS System - Health Claims Processing
Zenith’s new ATLAS health claims processing system is designed to help us excel in our service commitment to our clients by:
• Facilitating the administration of increasingly complex benefit plans and regulations
• Providing an outstanding platform for data exchange between client vendors (e.g., disease management, wellness, etc.)
• Allowing for significantly improved data collection, tracking and reporting ATLAS' features include:
• Flexibility to change and support multiple client-specific processing requirements
• Logic engines and features that enable processing customization and automation
• High auto-adjudication rates and integration with EDI services
• Demonstrated large scale success (30+ million lives)
• HIPAA compliant transactions including code sets, privacy and security
• Open Systems Environment – the ability to interoperate and share information across platforms
• Multiple rate tables and Medicare edits consistent with industry standards ATLAS offers these key functionalities to support health care benefits management:
• PPO Re-pricing • Medical Management
• Claims Adjudication • Customer Service
• Claims Editing • Electronic Data Interchange (EDI)
• Claims Payment • Reporting and Analytics
• Eligibility • Consumer Driven Health Care (CDHC)
• Plan Management • Loss-of-Time (Short-Term Disability) ATLAS is integrated with several services such as:
• Reporting and analysis
• EDI
• Scanning and document management
• Financial services for payments and receipts
• Internet based services – websites, email, etc. To request more information or schedule a demo of this product please send us an email.
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