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ABSTRACT:
FACTS® MANAGED CARE SUITE™ provides your company with the necessary components for the comprehensive automation of a wide variety of managed care organizations, including HMOs, PPOs, PHOs, IPAs, medical groups, and clinics.
The comprehensive system functionality of the FACTS MANAGED CARE SUITE includes: managed care processing for handling a wide variety of managed care and Point-of-Service (POS) programs; decision support matrix; clinical editing and auditing of provider bills; pre-authorization, utilization review, utilization management, and physician referrals; provider capitation and sub-capitation management and provider network management.
The FACTS MANAGED CARE SUITE provides a full range of reports to help you manage your organization, design plan requirements, and control and monitor costs.
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