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FACTS® Services, Inc.
(FSI) was founded for the purpose of designing and implementing
fully automated and integrated software and hardware solutions
for use by healthcare payer organizations. FSI is a company dedicated
to making the job of the healthcare administrator "easier"
and "more productive." Our philosophy is based on a
direct appreciation for the effort and challenge of creating high
performance and sophisticated, user-friendly tools. This philosophy
has served as the common factor in the development of the FACTS®
product line.
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With FSI, you can meet all your health claims
management needs from a single company - from software systems
to hardware options to full-service training, support, and consulting.
FACTS® is 100% responsive to your mission
critical business needs - providing you with everything you need
and expect in a health claims management system. |
Seamless Integration of Multiple Lines of Business |
The FACTS® family
of products supports multiple lines of business within a single
information system: Health, Indemnity, TPA, PPO, HMO, PHO, IPA,
MSO, Group Administration, COBRA, Section 125-Integrated Flexible
Benefits, and Workers' Compensation with Integrated Managed Care
for 24-hour coverage. |
Expert management of all key components of your business
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- Claim and encounter processing
- Managed care administration
- Workers' compensation administration
- Policy/Benefit administration with support for eligibility,
billing, collections and commissions
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| HIPAA Compliance |
From the inception of HIPAA, the
FACTS® system infrastructure has been based
on HIPAA-compliant solutions. FACTS® is fully committed to ensuring a clear
and easy path to HIPAA readiness - well ahead of the federally mandated compliance deadlines. |
Interactive "Web" and "Voice-Enabled" Benefits Communication |
FACTS® fully integrated, interactive
Internet and voice-based systems empower healthcare administrators and professionals with
24 x 7 access to claims and benefit information, and real-time transactions such as EDI
claim uploads, through the Internet. |
Fully integrated, advanced technologies for added
functionality and advanced productivity |
Automatic claim adjudication
Electronic Data Interchange (EDI)
Electronic claim workflow
Claim processing/pre-processing
Automatic claim coding |
Optical imaging / IOCR
MICR laser check / EOB encoding
Standard/custom report generation
Letter generation |
Managed Care |
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Clinical editing and auditing
Provider network management
Provider capitation management
Pre-Authorization, UR, UM,
and physician referrals
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Point of Service (POS)
Primary Care Physician profiling and credentialing
Case management
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