Coalition America Partners with Advanced Medical Pricing Solutions and Eldorado Computing To Offer Streamlined Repricing and Adjudication Solution - Insurance News | InsuranceNewsNet

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September 14, 2005
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Coalition America Partners with Advanced Medical Pricing Solutions and Eldorado Computing To Offer Streamlined Repricing and Adjudication Solution

 

Atlanta, Ga., Sept. 14, 2005 - Coalition America, Inc. (CAI) has partnered with <strong>Advanced Medical Pricing Solutions (AMPS), to offer an automated and streamlined EDI connection for Eldorado Computing, Inc.’s (ECI’s) clients.  AMPS has partnered with Eldorado Computing to create a unique interface designed to facilitate connection to repricing organizations for ECI’s  clients.  CAI connects to AMPS via HIPAA-compliant EDI to enable ECI’s clients to electronically transmit in-network and out-of-network medical bills to CAI for repricing.  The discounted bills are quickly returned electronically to the client ready for auto-adjudication.

"We believe our technology solution for Eldorado Computing clients will dramatically improve their operational effectiveness and overall profitability.  We have contracted with CAI because we see them as a leader in the repricing services market and recognize the value they can generate for Eldorado’s clients," said Jim Delaney, COO, Advanced Medical Pricing Solutions.  

According to Coalition America, Inc. Chairman and CEO Sean Smith, "We are very excited about working with AMPS to offer this simple and efficient solution to Eldorado’s clients.  Our new connection will dramatically improve the repricing and adjudication process for Eldorado’s clients, while enabling them to discount more claims faster."

About Coalition America

Coalition America, Inc. (CAI) is the leader in medical claim savings utilizing proprietary technology, PPOs and negotiations to deliver significant discounts on in-network and out-of-network medical bills.  CAI directly services 300 clients representing more than 12,000 businesses nationwide.  CAI has saved its clients over $900 million since its inception in 1995.

For more information visit www.coalitionamerica.com or contact Libby Roper at 404-459-7201, ext. 5265 or [email protected]

About Advanced Medical Pricing Solutions

Advanced Medical Pricing Solutions offers a single gateway approach to a suit of cost containment services.  These include Medical Bill Review (claims audit), fee negotiations, and EDI access to multiple best-in-breed PPO repricers.

For more information contact Jim Delaney at [email protected] or 678-528-3041, or visit their website at www.advancedpricing.com

About Eldorado Computing, Inc.

Eldorado Computing, Inc. (ECI) is a wholly owned subsidiary of MphasiS, a leading provider of IT and BPO solutions. ECI provides integrated HIPAA-compliant software and ASP solutions for health benefits management, serving hundreds of TPAs, health plans, employers and self-insured organizations. Together, ECI’s customers manage five million lives and handle 35 million claims annually.

For more information, call 602.604.3100 or visit http://www.eldocomp.com or http://www.mphasis.com.

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