Published:
California Foundation for Medical Care, Inc. (CFMC) Selects National Healthcare Exchange Services, Inc. to Provide Repricing Services
National Health Care Exchange Services, Inc.
(OTC: NHCR), headquartered here, said today it signed a contract with
California Foundation for Medical Care, Inc. (CFMC) representing 400
hospitals, 32,000 physicians and 5,000 ancillary providers, to provide
repricing services for their PPO clients.
National Healthcare Exchange Services provides claims repricing and payment
audit services to the healthcare industry. CFMC will use the "NHXS
Direct(TM)" product to provide claims repricing services for its clients.
NHXS Direct(TM) provides a turnkey solution for claims administrators
seeking secure internet claims repricing in batch and real time modes. In
addition to its high auto adjudication rate, a key feature of NHXS
Direct(TM) is its ability to provide improved transparency of fee schedule,
pricing, and clinical edit rules to the trading partners.
CFMC is California's largest and most comprehensive independent network of
physicians, hospitals and ancillary providers. CFMC offers PPO, EPO and
Workers' Compensation Products to more than 1.2 million lives.
http://www.cfmcnet.org/
Dolores Green, CEO of California Foundation for Medical Care, explained
that; "As an organization seeking to be both competitive and transparent in
our business processes, it was important to us to select a company that has
the technology to protect the interests of both our physicians and payor
clients. In addition, NHXS Direct(TM) will allow us to offer additional
benefits to our clients and convert manual processes into automated ones."
According to Mark W. Rieger, CEO of National Health Care Exchange Services,
Inc., "NHXS Direct(TM) is a competitively priced robust rules engine that
will allow CFMC to compete effectively with other PPO networks offering
electronic repricing services. NHXS is an acknowledged leader in the
repricing of healthcare claims and the CFMC contract will allow us to gain
some additional visibility within the TPA market."
For more information, visit http://www.nhxs.com.
Distributed by Market Wire
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