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Why Us

• Knowledge and Experience
• Integrated Delivery Platform
• Revolutionary Approach
• Unique Process
  • Illuminate™
  • Discover™
  • Capture™
• Nationwide Infrastructure
• Seamless Data Integration
• Realizing Objective and Valuable Results

Solutions

• Claims & Payment Integrity
  • Fraud, Waste, and Abuse – Claims Integrity™
    • Solution Highlights
    • Superior Approach
    • Focus On High Return-On-Investment
    • Comprehensive Project Management and Transparency
    • Seamless Integration, Refreshes and Data Transfers
    • Coordinated Solutions Bringing Synergies and Expanded Value
    • Broad Experience and Nationwide Infrastructure
    • Superior Medical Case Validation Capabilities
    • Focus On Quality Control and Oversight
    • Quality Beyond Process
    • Financial Insight and Results
  • Risk Adjustment – CARA
    • Solution Highlights and Details
      • Solution Highlights
      • Superior Identification of Reimbursement Opportunities
      • Focus on High Return-On-Investment
      • Seamless Integration Refreshes and Data Transfers
      • Comprehensive Project Management and Transparency
      • Coordinated Solutions Bringing Synergies and Expanded Value
      • Broad Experience and Nationwide Infrastructure
      • Superior Medical Chart Review Optimization and Coordination Capabilities
      • Focus on Quality Control and Oversight
      • Quality Beyond Process
      • Financial Insight and Results
    • CARA Medicare
    • CARA Medicaid
    • CARA RX – Pharmaceuticals
    • Commercial
  • Claims Aggregation, Analysis and Submission (CAAS)™
  • Claims Audit and Surveillance
• Disease Management and Prospective Solutions
  • CCS Advantage™
    • Solution Highlights
    • For Your Members and Physicians
    • For Your Health Plan
    • Disease Identification and Stratification
    • Coordinated Communications
    • Modular Design and Process Reliability
    • In-Market Care
    • Comprehensive Monitoring and Reporting
    • Comprehensive Project Management
    • Seamless Data Integration
  • Prospective Advantage™
    • Data into Insight
    • Insight into Action
    • ePass
      • Solution Highlights
      • The ePASS™ Solution
      • Superior Identification of Gaps in Assessment Documentation and Care
      • Delivering High Impact
      • Coordinated Solutions Bringing Synergies and Expanded Value
        • Quality Assessment, Pay-for-Performance, HEDIS, and Comparative Effective Solutions
        • Disease Management
        • Risk Adjustment and Related Claims Analytics and Submissions
        • End-To-End Solutions.
      • Broad Experience and Nationwide Infrastructure
    • Rapid and Measurable Results
  • CareSync Advantage™
    • Solution Highlights
    • The CareSync Advantage™ Solution
    • Superior Coordination Empowering Greater Effectiveness & Lower
      Costs
    • Seamless Process Integration, Updates, and Data Transfers
    • Comprehensive Monitoring and Reporting
    • Broad Experience and Nationwide Infrastructure