Health & Human Services

Medical Claims Processing: Insurance Outsourcing

Medicaid agencies and managed-care organizations need secure, easy-to-use systems. With all information readily accessible. In real time.

And if you want a robust, client-server, managed-care processing system to handle state Medicaid administration, Unisys has the medical claims insurance outsourcing answer.

Our Medicaid MIS standardizes electronic transactions and reduces costs. It offers self-service capabilities for providers and members, and supports new healthcare-funding models.

Medicaid, Medical Claims Processing through
Insurance Outsourcing  includes:

• Functionality for real-time claims processing and adjudication
• Benefit-plan and policy administration
• Member administration
• Provider administration
• Medical service-authorization management

The system also offers financial management and call-management components, as well as Web-enabled functionality. Its platform and architecture also give you the agility to take a proactive and secure approach to complying with frequent business and legislative changes.

For increased productivity and performance that results in administrative savings.

Our Medicaid, Medical Claims Processing:

• Reduces operating and administrative costs, including development and back-end data-center operations
• Complies with the Health Insurance Portability and Accountability Act (HIPAA)
• Allows faster introduction of program/plan changes and new healthcare-funding models
• Provides rapid deployment of changes, reducing dependence on programming staff to make changes
• Offers a design conducive to long-term technology refreshment
• Expands self-service capabilities and provider/member communication through secure, robust Web portals.

We’ve partnered with QCSI to deliver QMACS, the leading, large-scale, insurance claims processing solution — designed specifically for the U.S. Medicaid market. Together QCSI and Unisys deliver safe solutions that include all of the essential components needed by the healthcare payer industry.

Building easy-to-use systems that are agile and secure enough to respond to change requires visibility into your operations. And with our 3D Blueprinting approach, we can help you gain the visibility you need to deal proactively with change. Any change, anywhere in your organization. Because we help you see the connections among your strategy, processes and infrastructure.

Find out how our Medicaid MIS can result in administrative savings and provide real-time access to information across secure networks.

Learn more about Unisys Medicaid solutions, have a Medical Claims Insurance Outsourcing Consultant contact you.