Strategic Partnership Broadens Service Portfolio and Provides Added Cost Savings for Clients
SEATTLE, March 5 /PRNewswire/ -- Adaptis, a leading provider of Business Process Integration solutions for health payors, today announced that it signed a strategic partnership with Pittsburgh, PA-based SOCRATES, INC., a privately-held subrogation company exclusively focused on the health payor industry. As part of the agreement, Adaptis will expand its claims processing services post claims adjudication with optional subrogation services. The proprietary SOCRATES(R) system and MY SOCRATES(R) family of software products provide the unique ability to seamlessly import, filter, scrub, identify and fully review, track and manage subrogation case files based upon unique claims diagnosis codes or threshold dollar amounts. Direct legal affiliation assists recovery processes, with client satisfaction assured through Adaptis' account management oversight, providing seamless integration.
(Logo: http://www.newscom.com/cgi-bin/prnh/20050113/SFTH042LOGO)
According to Adaptis Vice President of Strategic Partnerships, Nancy Coburn, "Health payors carry the burden of determining whether they've paid for a claim for which they weren't really liable. But generally, they pay rather than deny a member medical care based on incomplete legal information or disrupt a solid provider relationship." Well-managed subrogation cases often lead to higher recovery rates for the health plan, and inevitably benefit the member as well because the plan's costs are mitigated. Coburn added, "We are especially pleased to partner with SOCRATES for subrogation services given our mutually exclusive focus on the health payor and expertise in the market."
"We consider it a privilege to partner with a well-respected organization like Adaptis," said Paul J. Gitnik, president of SOCRATES, INC. "We know that Adaptis clients will be extremely satisfied with our industry-leading recovery services. With over 15 years of industry knowledge, we have brought together the collective minds of our claims recovery specialists, IT, legal and accounting team, to create our own purpose-built application, resulting in a whole new level of outsourcing performance and cost containment," he explained. "This will mean recovery rates for Adaptis clients that easily exceed the industry norms."
About Adaptis
Adaptis is a comprehensive source of business process integration solutions focused on health payors with up to 500,000 lives. Proven service performance and a client-centric Account Management Approach underlie their administrative, medical management and decision support services. Adaptis is headquartered in Seattle, Washington with a regional operations center in Yakima, Washington and through its majority-owned subsidiary, Tela Sourcing Inc., an ISO 9001:2000 certified international facility in Pune, India. http://www.adaptisinc.com
About SOCRATES, INC.
Founded in 1991, SOCRATES INC. has a diverse client portfolio of more than 12 million members that includes health plans, third party administrators (TPAs), self-funded welfare benefits plans, plus consumer-driven health plans, Medicaid and Medicare programs. The proprietary SOCRATES(R) system and the My SOCRATES(R) family of software products were developed exclusively for health payor subrogation. These outsourcing services and software programs enable health payors to achieve recovery rates that exceed industry norms and provide unparalleled case management from virtually any claims processing platform.
http://www.adaptisinc.com/
The HR industry´s premier online community and resource for Human Resource professionals: HR, human resources, HR community, human resources community, HR best practices, best practices in human resources, online communities for HR, HR articles, HR news, human resources articles, human resources news, HR events, leadership, performance management, staffing and recruitment, benefits, compensation, staffing, recruitment, workforce acquisition, human capital management, HR management, human resources management, HR metrics and measurement, organizational development, executive coaching, HR law, employment law, labor relations, hiring employees, HR outsourcing, human resources outsourcing, training and development
hr.com.
human resources management resources for hr professionals. |
HR menus
|
HR events
|
HR Sitemap