eCAMS - in its second generation - is a proven next-generation payer solution for Medicaid and commercial health claims. Based on J2EE and XML-based Web services technologies, eCAMS will align with your Service-oriented Architecture (SOA) strategy. It provides a claims management foundation for payer services that will enable your organization to have unprecedented access to, and control over, claims and related information.
eCAMS is engineered for performance. The claims processing engine is optimized for performance and has been benchmarked by a third-party to process more than 336 million claims per year.
eCAMS will enable you to:
- Put rules management in the hands of your business staff with our integrated RulesIT® rules engine
- Support continued process improvement by tracking operational and financial metrics, as well as align with the next-generation healthcare delivery model changes such as CDCHP and pay for performance
- Gain increased visibility by self service Web portals that provide real-time status on claims, payment and eligibility information
- Build transparency with integrated data warehouse, advanced analytics and metrics designed to provide operational insight
- Manage all claims, provider and member management documents, attachments and images.
- Enable enhanced customer service experience with a 360 degree contextual view of the provider and member information
eCAMS provides:
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