Infocrossing Introduces Q/Advantage Medicare Prescription Drug Coverage Solution
2007年6月18日 - 8:50PM
ビジネスワイヤ(英語)
Infocrossing, Inc. (NASDAQ:IFOX), a provider of selective IT
infrastructure, enterprise application and business process
outsourcing services, today announced the introduction of
Q/Advantage, a Medicare prescription drug coverage and premium
billing solution for Medicare Advantage and Part D plans. The
outsourced solution streamlines the enrollment and day-to-day
business process for a wide variety of healthcare payers, including
managed care organizations, PDPs, HMOs, PPOs, Medicaid programs and
indemnity plans. The Q/Advantage product supports the
administration of Medicare Advantage and Part D Plans. Q/Advantage
leverages the rules-based, table-driven architecture of
Infocrossing�s Q/Care health plan and payer management solution to
split off specific functionality into a single integrated
customized offering that addresses pharmacy benefit management.
Infocrossing offers Q/Advantage as either a standalone service or
as an integrated solution that complements its Q/Care claims
management services. The seven Q/Advantage modules include:
Eligibility and Enrollment Services Made Simple�Infocrossing
provides eligibility and enrollment services under an agreement
with the Center for Medicare and Medicaid Services (CMS). Under the
agreement, CMS transmits and extracts from the Medicare Beneficiary
Database to Infocrossing Healthcare Services on a bi-weekly basis.
This extract provides the eligibility information required to
successfully enroll members. Infocrossing Healthcare Services makes
the information available to its healthcare plan clients in a
format each plan can immediately use. Premium Billing &
Reconciliation�Medicare Advantage and Part D plans require a robust
billing solution due to the new payment options and cost sharing.
Q/Advantage provides the capability to split premium billing
invoices automatically to accommodate low income subsidies and late
enrollment penalties. Payments from the beneficiary and CMS are
then applied to the invoices. The system automatically updates
billing payment option changes based on the Transaction Reply
Report provided by CMS. Healthcare plans also benefit from the
system�s ability to automatically produce delinquency letters,
flexible invoice scheduling, a variety of payment options including
Social Security withhold, automatic deduction from the
beneficiary�s checking or savings account, and flexible general
ledger extracts. Infocrossing�s infrastructure supports high volume
processing that is required for healthcare plans.
Correspondence�Based upon CMS correspondence requirements, letters
can be generated using a unique combination of beneficiary status
codes, TRC codes, and other CMS responses. The plans can create
user-defined letter templates with embedded Q/Advantage variable
data or free form text to accommodate CMS correspondence
requirements. An online correspondence log file allows users to
view or reprint letters. Search capabilities allow the user to view
letters by letter ID, date, or member ID. Customer
Service�Q/Advantage tracks responsiveness to inquiries, problems
and grievances for employer groups, providers, members and special
documents. Users are allowed unlimited comments, online audit
trails, and automatic letter and ID card generation.
Employer/Enrollment Groups�Identifies employer groups and their
unique coverage options, such as network access, benefit coverage,
and other payment calculations; enables the tailoring of multiple
products, including Medicaid MCO, commercial and TPA; and allows
employer groups to control product portfolios. Q/Advantage is
extremely flexible and this �group� concept is used to establish
rules that define benefit plans offered by the healthcare plan.
Q/Advantage can interface with other systems to track member and
group eligibility and member benefits usage. �With Q/Advantage,
Infocrossing Healthcare Services takes over and effectively manages
the member from eligibility and enrollment to billing and payment
reconciliation, so that our customers, health plans and healthcare
claims payers can focus on the delivery of healthcare instead of
back-office business processes,� said Art Miller, president of
Infocrossing Healthcare Services. �While Medicare is changing every
day, we have the expertise to make life easier for our customers.
Infocrossing knows not only how to tailor custom solutions to
address specific needs, but we have established best practices from
working with more than 300 Medicare Advantage and Part D plans.
With this expertise, we get our Medicare Part D customers up and
running in the shortest timeframe possible, while streamlining the
process for real cost savings and efficiency.� About Infocrossing
Healthcare Services, Inc.�s Medicare Support Services Infocrossing
Healthcare Services, Inc. provides managed care companies with an
online, real-time system for reconciling CMS capitation payments.
More than 150 managed care companies and pharmacy benefit
organizations now use Infocrossing Healthcare Services, Inc.�s
solutions. The Infocrossing Medicare Support Services are supported
by Infocrossing�s five data centers located across the United
States, which ensure the availability, scalability, reliability and
redundancy of the offering. More information about Infocrossing
Healthcare Services, Inc. can be found at
www.infocrossing.com/healthcare. About Infocrossing
(www.infocrossing.com) Infocrossing, Inc. (NASDAQ:IFOX) is a
provider of selective IT infrastructure, enterprise application and
business process outsourcing services delivering the computing
platforms and proprietary systems that enable companies, regardless
of industry, to process data and share information within their
business, and between their customers, suppliers and distribution
channels. Leading companies leverage Infocrossing�s robust
computing infrastructure, skilled technical team, and
process-driven operations to reduce costs and improve service
delivery by outsourcing the operation of mainframes, mid-range,
open system servers, networks and business processes to
Infocrossing. Safe Harbor Statement This release contains
forward-looking statements within the meaning of Section 21E of the
Securities Exchange Act of 1934, as amended. As such, final results
could differ from estimates or expectations due to risks and
uncertainties, including, but not limited to: incomplete or
preliminary information; changes in government regulations and
policies; continued acceptance of the Company's products and
services in the marketplace; competitive factors; closing contracts
with new customers and renewing contracts with existing customers
on favorable terms; expanding services to existing customers; new
products; technological changes; the Company's dependence upon
third-party suppliers; intellectual property rights; difficulties
with the identification, completion, and integration of
acquisitions; and other risks. For any of these factors, the
Company claims the protection of the safe harbor for
forward-looking statements contained in the Private Securities
Litigation Reform Act of 1995, as amended.
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