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What is WizWhy?

WizWhy examines the interplay between the values of one data field and those of others within the dataset. This analysis revolves around a user-selected dependent variable, while the other fields serve as independent variables or conditions. The dependent variable can be analyzed in two distinct ways: either as a Boolean value or as a continuous measurement. To enhance their analysis, users can fine-tune various parameters, such as the minimum probability needed for rule generation, the minimum number of instances required to substantiate each rule, and the relative costs of false negatives compared to false positives. WizWhy effectively identifies and articulates a set of rules that link the dependent variable to the other fields, employing if-then and if-and-only-if statements to convey these relationships. Furthermore, based on the established rules, WizWhy reveals significant patterns, uncovers unexpected rules that may highlight intriguing phenomena, and identifies anomalies within the dataset. In addition to this, WizWhy can also generate predictions for new instances by utilizing the rules it has derived, enabling users to make informed decisions based on the analysis. The comprehensive insights provided by WizWhy empower users to understand their data more deeply and leverage the findings for strategic purposes.

What is Complete Claims?

Claims adjudication services encompass a variety of sectors such as medical, dental, vision, and prescription claims, along with both short and long-term disability cases. These services can be accessed on-site with a license or through a hosted application model (ASP). Powered by Microsoft technology, the system employs an SQLServer database and a Windows front end for optimal performance. Our customer service team is highly esteemed, comprised of healthcare claims experts with at least 12 years of experience in the industry. Every support request is documented, allowing clients to track their status online. The system includes a plan copy and modification feature that enables quick implementation of changes. Auto-adjudication is facilitated through benefit codes built on business rules that take into account over 25 variables related to both claims and claimants, all processed by the adjudication engine. Submissions can be made in various formats, including scanned images, EDI, or traditional paper submissions. The system adheres to HIPAA EDI 5010 transaction sets, guaranteeing secure and efficient processing. Furthermore, re-pricing fees and UCR schedules can be entered into the system ahead of their effective dates, while the date-driven logic ensures re-pricing is executed based on the service date, enhancing the overall workflow of claims processing. This comprehensive solution not only streamlines claims management but also significantly improves client satisfaction and operational efficiency.

Media

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Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub

Training Options

Not specified

Company Facts

Organization Name

WizSoft

Date Founded

1983

Company Location

United States

Company Website

www.wizsoft.com/products/wizwhy/

Company Facts

Organization Name

Complete Health Systems

Company Website

completehealthsys.com/claims/

Categories and Features

Data Analysis

Not specified

Data Mining

Not specified

Predictive Analytics

Not specified

Categories and Features

Claims Processing

Not specified

Health Insurance

Not specified

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