Health Plans

Managing the gap between reducing costs and streamlining processes without sacrificing quality of care has been an ongoing challenge for healthcare payer organizations and TPAs. While health plans are becoming more complex and healthcare technology is advancing it is essential to have access and secure control of data. Without a solution to capture data, payers and TPAs face the risk of labor-intensive and expensive processes.

You know how important it is to securely control patient data, improve management of patient's information, track their progress through the claims lifecycle, and maintain authorization and care management plans. We can help you do all of that and more. With our expertise in claims management, rules engine and workflow technology, we can provide you with services and solutions that enable you to automate healthcare claims capture, accurately and precisely - overall simplifying your claims processing.

Experience

The Chenoa innovation team created and delivered a rule based Claims Adjudication and Management Platform, including provider and patient engagement portals.

Collaborating with a National Home Health organization Chenoa designed and delivered a Digital Referral Application. The new system sent patient referrals to post-acute care service agencies within the Health Plan network.

Change text to: Developed a web-based provider portal solution that easily integrated with the existing claims auto-adjudication engine for improved provider claims management workflow.

We help accelerate the transformation of your business activities, processes, competencies and models to fully leverage the changes and opportunities of digital technology in today’s society

Our software engineering team combine strong technical expertise, industry knowledge and creative innovation to help you enhance the insights into your business to promote growth, competitiveness and profitability

Our experts have in-depth understanding of the ICH Q10, GMP and ISO 9000:2005 to work with you on all expects of building, implementing or improving your quality sytems

We provide the resources that have the domain and technology expertise to understand all your problems and what is needed to resolve them. With access to an extensive talent pool with proven commitment to excellence, you will quickly have the solutions to meet all your challenge

Providing technology solutions to keep your organization delivering high quality of care at a lower price point. Utilize all our solutions to ensure your patient population stays as healthy as a horse

Mange patients without the manual operations. We automate care plans, daily alerts and activities to improve your patients outcomes

Lowering utilization cost is one portion of new value based programs like MIPS and APM's, but quality metrics is the other. Increase your quality metrics with interactive dashboards with drill down capabilities

Claim Denials can put a real hinder on your practices cash flow. Stay ahead of the curve with our claims engine that ensures you send only clean claims to your clearing house

Aggregating disparate data sources into one location along with data management services to allow your organization to gain insight into different facets of your business

Managing your patients with our cloud-based solution that allows your care managers to create care plans, schedule interventions, and provide patients with relevant education

ONC HIT 2014 certified BI/analytics platform that provides healthcare organization executives with the necessary tools and resources needed to gain a better understanding into patient population data and deliver cost effective, compliant and quality healthcare services in a timely and cost-effective manner

Scanning your 837 files before being sent to your clearing house so your coders can edit claim line errors on the fly