Ebix Health :: Partners

	Enhancing the value of the LuminX product family are the products of our Strategic Alliance Partners.

	AdminiSource provides technologically advanced, cost-effective and comprehensive paper- and electronic-based output solutions that include: Check Processing, Explanation of Payments, Billing, Correspondence, ID Cards, Government Tax Form Processing and eBusiness Solutions. These critical business communications require timeliness, accuracy and a clear audit trail. AdminiSource can make the difference to your bottom line and help move your business forward.

	Bloodhound is an application service provider specializing in medical claims overpayment protection services. Bloodhound’s flagship product, ClaimsGuard™, safeguards HMOs, TPAs and other at-risk healthcare payers from overpayment due to duplicate claims and other complexities resulting from processing large volumes of data through traditional claims payment systems.

	Captiva claims management software helps you reduce operating costs, increase accuracy and improve customer service. In medical claims processing, managing a mountain of paper forms is all in a day's work. To minimize the costly and time-consuming process of manually handling thousand of claims or more each day, leading companies use ClaimPack from Captiva Software Corporation. Captiva provides input management solutions that optimize the processing of information across the enterprise.

	CareVu specializes in providing clearinghouse services, PPO connectivity services, and scanning/ OCR services to many LuminX clients all around the country. Our pricing structure, low transaction fees, and Web portal services will give you a competitive advantage. Let us show you how!

	Coalition America, Inc. (CAI) is the leader in medical claim savings utilizing proprietary technology, PPOs and negotiations to deliver significant discounts on group health and workers' compensation medical bills. Payors interface with CAI through HIPAA compliant EDI or the Internet to reprice in-network and out-of-network medical claims. CAI directly services over 300 clients representing more than 12,000 businesses nationwide, offering a one-stop solution for discounting medical bills while reducing administrative costs through technology. CAI has saved its clients over 600 million dollars since its inception in 1995.

	Emdeon Business Services Emdeon is a proven provider of claims and payment management solutions that increase efficiencies in the healthcare system – helping healthcare payers and Preferred Provider Organizations (PPOs) improve efficiencies while lowering administrative costs. For more information, visit www.emdeon.com.

	Evolution Benefits, Inc. headquartered in Avon, Connecticut, began operation in 2002 with a commitment to supporting the movement toward greater consumer choice in and responsibility for employee benefits. Its primary product, the Benny® Prepaid Benefits Card, applies advanced payment technologies and pioneering electronic substantiation methodologies to FSAs, HSAs, HRAs, and Qualified Transportation Accounts, creating a bridge between traditional benefit structures and the evolving consumer-directed benefits movement. Evolution Benefits now powers the programs of more than 80 managed care and administrative services organizations and covers more than 3,000 employers, including 40 of the nation’s top-ranked Fortune and Forbes companies.

	Ingenix offers powerful health intelligence solutions that help realize new operational efficiencies: Our relativity-based and actual charge data modules (MDR™ and PCHS®) work with your in- and out-of-network claims adjudication system to help contain costs. CES, a claims edit system, provides automated, consistent and accurate editing across all providers.

	JMS & Associates provides claim payors with an end-to-end claims processing solution that includes mailroom services, scanning paper-to-EDI, claim image hosting & retrieval, claim editing, claim repricing, eligibility and provider verification, claim adjudication, claim auditing, and provider maintenance updates.

	MBI Benefits A Metavante Healthcare Payments Solutions company, offers a consumer-directed health benefits payment platform plus the country's #1 employee benefits card - electronically accessing FSAs, health reimbursement arrangements (HRA), health savings accounts (HSA), transit/parking accounts and dependent care accounts. Metavante provides medical identification cards, combination eligibility/payment cards, and the ability to access multiple benefits accounts from a single card. Metavante also provides a comprehensive payment platform that provides all the technology a financial institution, health insurance company, third-party administrator, or commercial business needs to offer these accounts.

	MCFG Medical Claims Funding Group accelerates out-of-network, medical claim settlements between healthcare providers and insurance carriers, third party administrators and self-funded employers. By contacting each Provider directly, and using the Advance Funding method, MCFG is able to access discounts from more Providers and extract larger discounts than competing methods. The MCFG process typically creates increased net savings for clients. Additionally, all transaction discounts with the Provider and associated transaction costs are available real-time, 24 x 7, via the MCFG Web Reporting Module.

	NHBC provides Total Savings Solutions that have been reducing healthcare costs while providing superior customer service for payors since 1987. NHBC assists payors to achieve their goals by offering cost containment without sacrificing quality. NHBC's strength lies in its ability to partner with their clients to provide innovative, flexible programs that deliver significant savings and real value. True savings and operational efficiencies are provided through their full suite of services.

	Preferred Medical Claim Solutions pioneered the concept of purchasing medical receivables in 1987. Self-funded payors, TPAs, insurance companies and HMOs nationwide have discovered an experienced partner that successfully reduces costs on medical claims from virtually all types of providers: hospitals, physicians and ancillary services.

	PHX PHX delivers advanced cost management solutions for health plans. The company combines claim processing automation with professional services to deliver centralized approach to cost management, increasing savings in both the near and long term while dramatically reducing errors and turnaround time. The firm’s solutions are used by a number of the industry’s leading insurance companies, Health Maintenance Organizations (HMOs), and Third Party Administrators (TPAs). Services included in the PHX offering include bill review and audit, secondary network re-pricing / claims negotiations, claims editing, fraud and abuse detection, and health benefits trend analysis and reporting. All services are handled are in-house for maximum privacy and legal and regulatory compliance. PHX also supplies full technology implementation, training and support for quick, seamless integration into any organization. Visit www.phx-online.com for more information.

	PPHA As a healthcare management company, PPHA's mission is to maximize the health of our members. The power of integrating on-site wellness and health screenings, disease management, case management and utilization management, translates into client convenience and an empowered consumer. Savings and outcomes are tracked for physicians, members, and our clients. Three in one! Physicians, PPHA, and the member all use the same self management tools. The elegance of efficiency! Now that's being on the same page.

	SOCRATES, INC. is the only healthcare claims recovery firm that provides outsourcing services and software programs to health payors so that they achieve recovery rates that exceed industry norms with unparalleled case management from the LuminX claims processing platform. The MY SOCRATES© software was developed by legal, claims recovery and programming experts. We have 15 years of health payor industry knowledge. With over 15 years of experience, SOCRATES, INC. serves the healthcare payor industry and has a diverse customer portfolio, including health plans, third party administrators (TPAs), self-funded welfare benefit plans, Medicaid and Medicare products and governmental plans. Providers such as WellPoint®, Definity Health, Inc., John Deere Health, UnitedHealthcare®, Meritain Health, f/k/a North American Health Plans, along with a variety of BlueCross BlueShield licensed plans, have benefited from SOCRATES, INC’s outsourcing services and software.

	TC3 provides integrated loss control solutions on a pre-payment basis that allow healthcare payers to avoid payment errors and claim overpayments, reducing overall paid claims by 5-10% annually. Our core competency is to maximize claim savings for our payer clients through the delivery of an integrated loss control solution for: (1) the detection and prevention of provider fraud and abuse, (2) clinical code edit compliance, (3) PPO network optimization and (4) out-of-network bill management. Our services provide a low risk solution (all contingency fees) and immediate payback through realized savings, improved billed charge to paid claims ratios, while streamlining the claims payment process.

	The Phia Group, LLC Headquartered in Braintree, Massachusetts, Phia is an experienced provider of cost containment strategies offering personalized service, legal expertise and innovative technologies. The company represents third party administrators, self-insured companies, insurance carriers, and reinsurers, servicing their subrogation, reimbursement, and overpayment recovery needs. Their proprietary software, The Phia SystemTM, analyzes claims, streamlining recovery efforts through advanced technology. The Phia Group's services include plan document review, claim analysis, plan exclusions and coordination of benefits. Based on its motto “A Passion for Subro,” The Phia Group has become one of the fastest growing subrogation companies in the nation. For more information about The Phia Group, please visit www.phiagroup.com.