Payor Solutions

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Get advanced transaction management capabilities that won’t break the bank with AdminisTEP’s Digital Operating Platform for Healthcare. For pennies, you can get a clean claim delivered to your adjudication system by using AdminisTEP. Scrubbing, parsing and routing are all part of the solution. Plus, we provide you with increased visibility into your transactions. And, all of this costs less than any other solution on the market.

Highlights

  • End-to-end solution from a single vendor
  • Manages multiple lines of business
  • Claims scrubbing for 93% first-pass rates, or better
  • Digital Mailroom eliminates lost paper
  • Reduce or eliminate delays that result in fines
  • Avoid underpayments and their associated penalties
  • Manage risk-sharing and provider contracts
  • User-customizable business rules for claim scrubbing
  • FQHC and community clinic management
  • Robust reporting improves decision support

One Solution for All Health Plans

AdminisTEP provides commercial, Medicare and Medicaid plans with an end-to-end solution that offers practice management (PM) functionality, as well as the handling of billing, workflow, electronic transactions and claims adjudication capabilities. One solution. One vendor.

Advanced Functionality

With AdminisTEP, health plans can electronically handle enrollment, import/export 837 claims, and handle authorizations. Robust credentialing, case management and care coordination capabilities reduce administrative tasks and improve care delivery. In addition, AdminisTEP is designed for the unique requirements of working with Federally Qualified Health Centers (FQHCs) and community health organizations.

Eliminate Paper

AdminisTEP supports the management of multiple business lines, and streamlines operations with its Digital Mailroom capabilities, which convert your paper-based claims, correspondence, encounter data and more into electronic formats.

Regulatory Compliance

Respond quicker to Department of Managed Healthcare requests by using AdminisTEP to improve access to claims data. Reduce or eliminate the delays that result in fines for not responding to requests or grievances within mandated timelines. Pay claims on time and reduce incorrectly denied claims. Avoid underpayments and their associated penalties. With AdminisTEP, you’ll have the insight into claims processes that you need to improve business performance.

Managing Encounter and Provider Data

AdminisTEP manages the entire data-gathering process, and converts paper-based information into electronic formats for storage, analysis and improved access. The result is improved encounter data reporting, and accurate provider demographics and credentialing information.

Perimeter Processing

Are your servers getting bogged down pending claims with errors? Let us take that task off your plate. Perimeter Processing allows us to do the heavy lifting when managing your transaction, so your servers are left to do what they’re supposed to do — adjudicate claims and get remittance to providers. After transactions pass through AdminisTEP’s Perimeter Processing, you’re left with clean transactions that increase first-pass rates to unprecedented levels. It’s that simple.

Customizable

Need to handle specific transaction types in a certain way? No problem. We’ll handle that for you. Have special reporting requirements? Need to access claims inventories on mobile devices? It’s all part of what we do to make AdminisTEP just the way you like it.

Business Rules

AdminisTEP’s DOPh contains the industry’s most extensive resource of healthcare transaction handling business rules. Many of them come as part of your subscription. Others can be custom developed to fit your needs. Let us know how you want it.

Secure

We take security seriously. AdminisTEP is HIPAA compliant and uses state-of-the-art security features, such as military-grade encryption, secure tunneling protocols, redundant servers and extensive permission capabilities.

Cost Effective

For pennies, you can get a clean claim delivered to your adjudication system by using AdminisTEP. Scrubbing, parsing and routing are all part of the solution. Plus, we provide you with increased visibility into your transactions. And, all of this costs less than any other solution on the market.

Contracting

Use AdminisTEP to efficiently manage your risk-sharing and provider contracts, including DOFR filing requirements.

This is us

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Smart doctors.
Practice intelligence.

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2600 Technology Dr.
Suite 700
Plano, TX 75074

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The industry's most robust set of business rules. Take action. Recover revenue.

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888.751.3271

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Clearinghouse services. Intelligent transaction routing. Data accountability.

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info@administep.com