@Global
features systems designed to move the control
of claim costs up front rather than after the
fact and which coordinate the various data sources
into an integrated system. Claim processors can
thus reduce both claim and operation costs effectively
and efficiently, whether they are HMOs, PPOs,
Third Party Administrators, or Managed Care Organizations.
@Global’s products have unique capabilities to integrate
with internal or external claims utilization review and case management
systems, office suite products and the Internet. This allows for
working across multiple lines of business including Workers Compensation,
Group Health, and Long or Short Term Disability. In use since 1993,
@Global’s systems enable clients to assess and manage health
care selection, service, delivery, cost and information.
The cornerstone of @Global’s stable of managed care products
and services is the ProCare Managed Care System, which can manage
all types of medical claims prospectively, concurrently and retrospectively.
Users can quickly access provider data, direct care, track referrals,
review treatment plans, access medical guidelines, reconcile medical
bills, manage costs, communicate decisions and create meaningful
reports.
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