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Solutions for PPOs, PHOs, IPAs

PPO, IPA, and PHO Software

ClaimScape offers a unique HIPAA compliant medical software system allowing increased productivity with fewer personnel. Claims processing and a patented auto-adjudication system, provides Preferred Provider Organizations (PPOs), Physician Hospital Organizations (PHOs) and Independent Physician Associations (IPAs), all the tools necessary to administer medical billings and claims. Processing claims have never been easier and faster utilizing ClaimScapes’ electronic medical claim system.

ClaimScapes’ PPO, IPA, PHO software includes:

  • Enrollment into the claim repricing system
  • EDI batch claims processing routines
  • Customer Service component for logging all calls
  • Internet-based claim repricing  programs
  • Premium Billing on a PEPM basis
  • Complete Reporting Package
  • Electronic Data Interchange
  • Built in Remote Access


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