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InCrease
InCrease operates in a data rich environment providing a complete healthcare claims
processing, data management, reporting and routing solution. Targeted at PPO’s (Preferred Provider
Organization), TPA’s (Third Party Administrator), Provider Networks and self funded organizations
that have the need to process health care claims efficiently, InCrease offers realizable benefits in a
feature rich environment.
In it’s most basic form, InCrease allows for health care claims to be priced
according to the client’s specifications. These specifications are stored in the system in the form
of fee schedules and are selected and applied automatically by the system, or in an assist mode thereby
letting the client make the final determination. Once a claim has been priced accordingly it can then
be sent along to the payer of the claim or, sent to the administrator of the health care plan for
distribution.
InCrease has the ability to maintain multiple PPO and TPA related data per client
or across multiple clients. Demographic, provider network data, fee schedules, UB92 and HCFA claim data
are the main focus for processing. InCrease can provide a high level of clean accurate data, which
can expedite quick claim turnaround while reducing administrative costs.
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