Partners

Benefit Informatics works with key industry leading firms and organizations to offer customers proven integrated solutions. Here are Benefit Informatics' partners:

Eldorado Computing

Eldorado provides proven health benefit management solutions to businesses that manage health benefit plans. Eldorado customers include third party administrators, insurance companies, self-funded employers, PPOs, associations, managed care organizations and unions.

Beginning with its first system release in 1984, Eldorado has enjoyed steady growth and achieved widespread acceptance of its systems nationwide and internationally, making Eldorado one of the industry's dominant vendors. From the start, Eldorado has been able to provide products and services that meet and exceed industry requirements. Eldorado thoroughly examines the health benefits and managed care industry from every possible angle in order to provide products and services that will solve your healthcare benefits and management needs.

TriZetto Group, Inc.

The TriZetto Group, Inc. is 100 percent focused on the business of healthcare. TriZetto offers a broad portfolio of proven enterprise software, outsourcing and professional services to help customers successfully respond to today's critical business challenges and achieve their future business vision.

TriZetto business solutions help healthcare organizations enhance revenue growth, drive administrative efficiency and improve the cost and quality of care. TriZetto's technology and services have an unmatched track record of successful implementations and demonstrated ROI.

TC3 Health, Inc.

Founded in 2000, TC³ Health, Inc. provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings. Utilizing proprietary claims management technologies, TC³ electronically integrates claims transaction systems with external loss control programs.

TC³’s integrated loss control model, the TC³ Funnel, enables payers to sequence multiple cost containment technologies through a single connectivity source, assuring payment integrity while reducing paid medical exposure by up to 3-6 percent annually. The TC³ Funnel includes the following components:

Integrated Prepay and/or Postpay Fraud & Abuse Detection with Investigations
Clinical Coding Compliance and Duplicate Detection
AccessPlus Supplemental PPO Repricing Program
Cost-to-Charge Benchmarking and Fee Negotiations
Web-Enabled Data Analytics and Decision Support

Health Cost & Risk Management

Health Cost & Risk Management, LLC performs predictive modeling services for Third Party Administrators, Brokers, Provider Networks, Physician Groups and other clients using historical medical and pharmacy claims data. Utilizing the MEDai system, HCRM provides monthly predictions of clinical events and associated costs for each member in their database. For each person, the system predicts medical costs, pharmacy costs, emergency room visits and inpatient days for the next 12 month period.

The system also assesses compliance with national standards of care for 20 chronic diseases. This information is used for disease management, large case management and others to address the healthcare needs of the members.

Healthaxis

Healthaxis offers a wide array of products and services that, combined with their experience and technical knowledge, enable payers to drive down costs, improve operational efficiencies and deliver value to their customers. Their aim is to stage a relentless attack on inefficiency, rapidly escalating administrative/medical costs and errors, as well as help customers compete more effectively.

Healthaxis serves a wide variety of customers with a divergent range of needs, and provides the type of flexibility that allows for considerable customization. They also tailor processes and technology to work seamlessly with clients' existing infrastructure and systems.