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What is Conexia?

At the point-of-care, processes for authorization, claim processing, and payment are efficiently integrated. By enhancing care coordination, we aim to achieve improved health outcomes while reducing medical expenses and simplifying administrative workflows. Engaging providers directly at the point of care allows for immediate data sharing and collection, facilitating an unparalleled flow of health information. Our collaboration with clients focuses on developing risk management strategies that lead to superior outcomes at reduced costs. We strive to enhance the experience for all participants within the healthcare ecosystem. To maximize the effectiveness of our clients' resources, we ensure a minimum return on investment of 3:1. Conexia has developed a versatile core technology platform known as ONE, which can be tailored to align with the varying regulatory needs and operational workflows of each client in different regions. Typically, our initial implementation serves as an enhancement to the existing technology framework of payers, enabling real-time operational capabilities that significantly improve efficiency. Ultimately, our goal is to create a seamless integration that benefits all stakeholders involved in the healthcare process.

What is CitiusTech SCORE+?

SCORE+â„¢ is a versatile platform that supports the creation and implementation of an effective, scalable HEDIS strategy through comprehensive reporting, workflow automation, and insights derived from natural language processing. This system is designed to equip health plans with the visibility and transparency required to improve their operational efficiency, accelerating their journey towards quality improvement. By identifying the best providers for engagement and addressing critical gaps, it reduces friction for providers while enhancing collaborative efforts. The platform also includes various self-service tools, including Rule authoring and Audit 360, which promote efficiency and enable quick decision-making. The Measure Engine, powered by BI-Clinical, is built for adaptability, ensuring it aligns with business requirements and produces measure outputs that come with robust auditing features, available in various formats to encourage effective teamwork and drive quality improvements. Ultimately, by utilizing these cutting-edge resources, health plans can significantly elevate their overall performance and service delivery. This holistic approach not only streamlines operations but also fosters a culture of continuous improvement within health organizations.

Media

Media

Integrations Supported

Integrations Supported

Lyniate Corepoint
Rhapsody

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Online Training

Training Options

Documentation Hub
Webinars
Online Training

Company Facts

Organization Name

Conexia

Date Founded

1996

Company Location

United States

Company Website

conexia.com/en

Company Facts

Organization Name

CitiusTech

Date Founded

2005

Company Location

United States

Company Website

www.citiustech.com/platforms/score

Categories and Features

Benefits Administration

Claims Management
Health Insurance Administration
Provider Management

Care Coordination

Not specified

Claims Processing

Claim Resolution Tracking
Compliance Management
Electronic Claims
Forms Management
Policy Administration

Healthcare CRM

Campaign Management
Medical History Records
Patient Management
Physician Management
Predictive Analytics

Hospital Management

Claims Management
Medical Billing
Policy Management

Medical Billing

Claims Processing
Invoice History
Patient Eligibility Checks

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

Categories and Features

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
EMR/EHR Integration
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

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