Payers
Ingenix Platforms

See our strategic compilations of data, software, analytics, and consulting that address Payment Integrity in bright new ways.

(And their demonstrated ROI.)

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Health insurers provide case managers to help patients with major illnesses

Payers may follow federal government in offering incentives for e-prescribing

Payers tap Chinese health insurance market

Popularity of consumer-driven health plans is increasing, survey shows

BCBS of Michigan to study cancer treatment data with national cancer group

Data Benchmarking and Pricing Solutions

This solution suite combines data from powerful databases of relative and actual charge data to help you develop your own reimbursement schedule for both in- and out-of-network claim payments.

Increase confidence and efficiency when:

  • Reviewing claims
  • Negotiating service contracts
  • Managing reimbursement risk
  • Developing network fee schedules
  • Resolving data challenges and appeals

Products:


Benchmarking Services
Ingenix Benchmarking Services encompass a variety of service bureau and consulting services that draw upon the capabilities of our vast standardized claims data assets, our powerful analytical applications, and our considerable professional expertise.
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Claim Arbitration Services
Save more on provider and facility out-of-network claims. Ingenix Claim Arbitration Services deliver an effective out-of-network solution for medical claim cost containment that rivals and exceeds most “silent” or “stacked “PPO solutions.
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MDR®
The MDR Payment System is a powerful relational database of Relative and Actual Charge Data (RACD) that helps you manage your costs and payments for fee schedule development for out-of-network and non-negotiated services.
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PHCS®
The Ingenix Prevailing Healthcare Charges System (PHCS) is a powerful database tool that helps you manage your costs and develop your fee schedule for out-of-network and non-negotiated services and negotiate service contracts with greater confidence.
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