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Network of ProvidersContracting & Credentialing ServicesAdequacy Analysis
Full-Service Claim AdministrationProvider Portal
Authorization Intake SystemCriteria Based Decision Support
Agent Training & AppointmentsMaterials ManagementSales & Production Tracking
PBM ContractingMedicare Part D Oversight
Health Plan Management SystemData Integration Services
Enrollment Intake & ManagementID Card & Enrollment MaterialOn-line Enrollment Utility
GAAP & SAP AccountingBudgeting / Pro-forma Management
Co-Employer Administration & ConsultingRecruiting & Talent Management Support
Member & Provider ServicesMember Satisfaction TrackingProvider Outreach Services
Risk / Care / HEDIS ManagementHRA & Care Plan Operations
Organization Level Strategic PlanningLarge Scale Project Management
Provider Network ContractingNetwork Management and Credentialing SupportNetwork Adequacy AnalysisManage & Operate the Vantos Health Network with multiple lines of service
Claims Payment and Processing
Risk Adjustment WorkgroupEncounter Submissions & Monitoring
Agent Training & AppointmentsCorporate Branding / Identity / Website DesignMarketing Material Development & Collateral ManagementSales & Production Tracking
TrellisAHS ConnectorOnline Enrollment Application Development and HostingCustom Software Solutions
Enrollment application / Demographic ManagementCMS Data ExchangeElectronic Retroactive Processing Transmission (eRPT)
Corporate Controller Designation & ServicesCorporate CFO Designation & ServicesMedicare Advantage & Financial Services
Member Services Call CenterProvider Support Call Center
HEDIS Data Collection and Submission ManagementPlan Specific Quality Measure MonitoringCase Management Application (HRA, Care Plan, ICT Tracking, etc.)
Corporate Strategic DevelopmentLarge Scale Project ManagementFuture State / Horizon Project Development
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