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Overview: FACTS Services, Inc. (FSI) is a design and implementation software firm specializing in best-of-breed technology solutions for healthcare payers. FSI's award-winning flagship product FACTS (Fully Automated Claims Transaction System), is utlized by some of the top healthcare payers in the USA. As the market leader in innovation and automation, FSI has a thorough understanding of all aspects of the healthcare delivery cycle. The FACTS family of products supports multiple lines of business within a "single" information system: Health, Indemnity, TPA, PPO, HMO, PHO, IPA, MSO, FSA, HRA, HSA, Medicare, Medicare Advantage, Medicaid, Group Administration and Workers' Compensation with Integrated Managed Care. FSI's flexible and reliable software, combined with deep domain expertise provides an unbeatable solution for healthcare payers seeking a competitive edge.
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Solutions offered by FACTS Services, Inc..
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Research offered by FACTS Services, Inc.
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FACTS ADMIN - Advanced Technologies for Expert Health Claims Management by FACTS Services, Inc.. April 2008 - FACTS ADMIN is a fully automated, real-time policy administration system - with support for membership enrollment and eligibility management, premium administration, accounts payable, and administration of broker commissions.
FACTS Defined Contribution System (FACTS DCS) - Advanced Technologies for Expert Health Claims Management by FACTS Services, Inc.. April 2008 - FACTS DCS is a technology solution that delivers consumer directed health plan administration seamlessly within your health claims processing operations.
FACTS Electronic Data Interchange System (FACTS EDI) - Advanced Technologies for Expert Health Claims Management by FACTS Services, Inc.. April 2008 - FACTS EDI (Electronic Data Interchange) is an industry compliant, electronic data interchange system that allows for the high-speed transaction processing of health information between the FACTS Systems and your trading partners.
FACTS® 125™ by FACTS Services, Inc.. April 2008 - FACTS® 125™ is a fully automated and comprehensive system for the management of Section 125, Flexible Benefit plans - offering a complete administration of a full range of flexible benefit programs
FACTS® CLAIMS & ENCOUNTERS™ by FACTS Services, Inc.. April 2008 - FACTS® CLAIMS & ENCOUNTERS™ is a fully automated, real-time processing system for complete, online adjudication of medical, dental, vision, prescription drug, disability and COBRA claims and encounters.
FACTS® MANAGED CARE SUITE™ by FACTS Services, Inc.. April 2008 - The FACTS MANAGED CARE SUITE provides a full range of reports to help you manage your organization, design plan requirements, and control and monitor costs.
FACTS® PPO™ by FACTS Services, Inc.. April 2008 - FACTS® PPO™ is a fully automated provider network processing module, this system provides you with a fully integrated database for providers (both practitioners and facilities).
FACTS® WDS™ by FACTS Services, Inc.. April 2008 - FACTS® WDS™ (Work Distribution System) module is an electronic claim workflow management system for your adjusters. It provides automatic routing of claims entered in the FACTS® CLAIMS & ENCOUNTERS™ system via FACTS® EDI™, OPTIFACTS™, or FACTS® PRE-PROCESSING™.
FACTS® Web™ by FACTS Services, Inc.. April 2008 - FACTS®Web™ facilitates the sharing of real-time information directly from your FACTS® system to insureds, employees, and provider’s web browsers through the Internet.
For Everything You Need and Expect in a Health Claims Management System...GET THE FACTS by FACTS Services, Inc.. April 2008 - FACTS® gives you the most comprehensive line of fully automated and integrated, advanced technologies for expert management of your business.
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