• Rules-based auto-adjudication
• Electronic processing
  

HealthTrio xpress claims processing system enables managed care organizations to automate this traditionally labor-intensive function. The system combines the ability to adjudicate claims for traditional managed care, point-of-service and PPO benefits.

• Exception-based rules logic reduces the resources and the time required to set up and maintain the organization's unique rules, such as benefits and provider arrangements
  
  
• The claims management system integrates seamlessly with other HealthTrio xpress modules, including capitation, enrollment, referrals and authorizations
  
  
• Online and batch methods of adjudication improve productivity by reducing the number of claims handled manually
  
  
• Accepts manual or electronic entry of claims
  
  
• Imports and exports data using proprietary interfaces or standard formats, including all of those defined by HIPAA regulations
  
  
• Integrates check writing, coordination of benefits functionality, remittance advice and EOB processing to improve workflow and ensure more efficient use of resources