Why Monument Systems ?
At Monument Systems, we know what you need. From claims processing, benefits management and premium billing to customer service and care management, we have the knowledge and experience to address your unique business requirements.
A Healthcare Payer's Future Depends on Vision, Efficiency, and Value.
Investing in Core Administrative Systems is about delivering value to subscribers, members, providers and plan participants.
- The revolutionary movement to ICD-10 will provide managed care organizations the ability to get very creative with benefit plan design and provider contracts.
- Provider contracting may be even more difficult to maintain based on the enormity of algorithms that could be utilized to pay claims under new fee schedule and benefit structures.
- As such, Monument Systems xpress™ 2011 delivers the flexibility to handle these complexities and enables the creativity to offer these new arrangements for both members and providers.
- To this end, Monument Systems is focused on solutions that enable better financial management, continuous improvement in operational performance, and informative meaningful interactions with members.
Monument's 2011 State of the Art Solution Delivers These Critical Success Factors:
Flexible Financial Management:
The ability to manage the in-flow and out-flow of premiums, reimbursements, and effective electronic financial transactions is critical in a world where every dollar for health care is scrutinized, tracked, and measured. Monument Systems xpress™ 2011 delivers 5010 HIPAA transactions, EFT flexibility, ICD-10 readiness, extensive audit control, and flexible reporting for modeling and tracking financial performance.
Efficient Operational Performance:
Developed on continuous process improvement philosophies of the quality movement, Monument Systems xpress™ 2011 is designed by experienced managed care and health plan professionals who understand the complexities of plan administration, claims processing, contract management, provider relations, and regulatory compliance. An integrated approach to information management along with strong, flexible reporting, Monument Systems xpress™ 2011 delivers significant value to the Payer, Provider, and Plan participants.
Creative Member Interaction:
Among Monument Systems xpress™ 2011's unique capabilities is the capacity to retrieve and gather information quickly in order to resolve a provider billing issue, answer a member question, adjudicate a claim, or address a referral or pre-authorization. Monument Systems xpress™ 2011 gives Plans a powerful solution to keep members engaged, informed, and directed within an effective and highly optimized care process resulting in quality outcomes. It also provides a framework to integrate clinical and administrative information along with event driven processes based on plan, benefit, and care management rules.