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Membership & Data Management and Administration

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    Overview

    No stakeholder in healthcare is better positioned to facilitate Healthcare Data than the Third Party Administrator (TPA). TPAs can serve an important function in healthcare financing space, including helping to establish plans, claims processing and claims review.

    At IA International, we transform organizations from reactive, claims Payor to proactive, strategic health plan management organizations.

    Naturally, the fundamental for this transformation is data. We capitalize as the repository of health plans, utilization, cost and health information to offer employers and their brokers insight to make efficient health plan and benefits decisions.

    Data Integration

    As claims are the building blocks of a consolidated health data warehouse. We have a strategic advantage by combining member demographics and eligibility, prescription claims, dental claims, biometrics, miscellaneous financial (premiums), and more, by offer a comprehensive data warehouse and integrate data to help develop plan strategies, evaluate plan design changes and select cost control providers

    We provide:

    • Easy Enrolment of Membership Data
    • Choice of Data & Claims Management by Principal, Dependent & Family Plans
    • Benefits Set Up by Plan and Member
    • Provider Access Control
    • Simplified & Structured Eligibility Assessment
    • Immediate Guarantee of Admission / Healthcare Services