Providers Submit:

• Encounter Data
• Prescriptions
• Prior Authorizations
• Referrals
• Claims

Existing clinical paper chart may be scanned and attached to the electronic medical record.

Competitive Advantages for Health Plan

• Captures continuous stream of valuable Encounter Data
• Acquires thorough archive of provider pharmaceutical prescribing practices
• Eliminates manual keying of prior authorizations and claims into Healthcare Information System
• Enables customization of member Wellness Programs

Competitive Advantages for Provider

• Provides customizable Electronic Medical Record
• Ensures compliance with pharmaceutical formulary
• Eliminates telephone time associated with verbal or faxed prior authorization submission
• Reduces time spent preparing, filing, managing, and archiving paper claims
• Creates singular, complete, and confidential clinical and business record for each patient

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