HDI provides sophisticated, yet easy to use, computer technology necessary to profitably manage the claim repricing function, including countless provider databases and fee schedules. The PPO Enterprise® system assists claim possessors by offering e-based fee schedule, provider demographic, and PPO claims repricing solutions specifically tailored to meet individual client needs.

HDI employs experienced healthcare technical and operational professionals. Our staff is well versed in the intricacies of the PPO repricing business from beginning to end. PPO Enterprise provides the technology necessary to accomplish the task at hand in a timely and detailed manner.

PPO Enterprise Competencies

Claims Repricing       Provider Data Implementation and Management       Fee Schedule Data Implementation and Management       Claims Invoicing       Leased Network Reimbursement       Salesperson and Vendor Commissions       Capitated Rate Management       Tiered Client and Vendor Rate Management       Payor Systems Integration

User friendly   Minimal data entry   High level of automation -- 96% of all claims require no human intervention   Minimal enrollment information necessary for repricing   HIPAA compliant EDI capabilities   Multi-layered security ensuring patient confidentiality   Automated and scheduled e-mail based reporting   Thin-client, n-tiered and Internet enabled   Fault-tolerant and redundant systems ensure 24x7 availability

The Results

A comprehensive flexible easy-to-use PPO repricing and fee schedule management system that will improve efficiency and reduce your healthcare claim costs.