QCSI® (Quality Care Solutions, Inc.), a leading provider of advanced information technology and enterprise application software and services for health insurers and benefits administrators, and Avolent Inc., the leading application software provider for interactive, self-service electronic billing and payment, today announced a strategic partnership that will enable QCSI’s healthcare payor customers and their constituents (employer groups, agents, brokers, ASO, TPA or individuals) to utilize Avolent for self-service electronic billing, payment, and membership maintenance.
“QCSI and Avolent have a shared goal: to empower health plans with
information systems that improve the customer experience, reduce costs and
dramatically improve the flow of information for the organization and its
stakeholders,” stated Dave Engert, CEO of QCSI. “To succeed in the next
healthcare economy, we’ll all have to work together to eliminate information
boundaries—namely, paper and manual processes.”
“We are pleased to join forces with QCSI to empower organizations. Through
Avolent’s Interactive eBilling, ePayment and Self-Care combined with the rich
power of QCSI’s QNXT billing and claims engine, together we will improve the
quality of customer care, reduce support costs, streamline payment and billing
processes and bring account-related activities online,” said Chris Kenney,
Avolent’s Vice President of Business Development. “By integrating our
solutions, we improve financial processes, increase customer service levels,
improve control of cash flow and deliver better operating results.”
Avolent brings the following capabilities to QCSI customers:
• Rich reconciliation functionality allowing Health Plans to
collaborate through a web portal giving them ability to adjust billing and
membership within a billing cycle, and have these changes reflected in the QNXT
membership database;
• Convenient electronic payment that updates the QNXT AR
System while enabling users to see manual payments posted through QNXT posted
against the appropriate bill/invoice within the Avolent Self-Service Portal; and
• Flexible output of multiple invoice formats all provided
through a central web portal.
The award-winning QCSI solution brings the following capabilities to Avolent
healthcare customers:
• Powerful, Integrated, real-time system functionality that
will extend the level of integration achievable across an organization’s
enterprise information systems;
• Ability to process Consumer Directed Health Care (CDHC)
claims with a single system that is integrated to the members’ fund balances;
• Care Management solutions that allow case and disease
managers easy access to patient history, case status, eligibility, medical
management utilization, and more, in order to identify high risk and high cost
patients;
• Functionality and integrated solutions for Medicare
Advantage and Medicare Part D, allowing health plans to offer competitive
products in the market on a single health claim payor system;
• Patented architecture that allows the flexibility for
“real-time” integrations to 3rd party products through the use of web
services, capitalizing on the technology and the unique architecture that only
QCSI has; and
• Proven, proprietary methodology for delivering targeted
outcomes-driven solutions.
About Avolent
Avolent is the leading application software provider for Interactive
Self-Service Electronic Billing and Payment for organizations that are committed
to an eBusiness strategy. By implementing Avolent software, organizations can
improve customer service and satisfaction, reduce operating costs, increase
revenues, accelerate cash flow, and promote compliance. Today, 10 eBills are
presented every second through Avolent software. Avolent's customers include
AT&T, Do It Best, MasterCard, Highmark, Office Depot, Unisys, Wells Fargo,
and two of the three largest PC suppliers in the world. For more information
call (800) 553-5505 or visit www.avolent.com.
About QCSI
Cited by a global independent research company as a leader for healthcare claims
platforms and claims platforms for consumer-directed health and claims platforms
with integrated medical management, QCSI is empowering companies for “The Next
Healthcare Economy, Without Information Boundaries.” The company is
celebrating more than 11 years of delivering advanced technology enterprise
solutions that empower health insurers, benefits administrators and healthcare
consumers to automate healthcare administration, lower the cost of care and
improve outcomes. QCSI’s service oriented architecture (SOA) applications
enable health plans flexibility to reduce costs, improve customer service,
increase profitability, expand market share and prepare for government
regulations, including HIPAA. Our award-winning enterprise applications include
the QNXT product family (Medical, Dental, Case Management, Accounts Receivable,
View, and Connect), and the web-based MyHealthBank suite (Transact, Direct,
Navigator, and Finance), proven applications and solutions for the rapidly
growing consumer-directed healthcare segment. Headquartered in Phoenix, Arizona,
QCSI can be contacted at 888-940-6432 or info@qcsi.com, or visit our website at www.qcsi.com
for more information.
QNXT, QMACS, QCSI and MyHealthBank are trademarks or registered trademarks of
QCSI. U.S. Patent No. 6,879,959. Other marks referenced herein are the service
marks, trademarks or registered trademarks of their respective holders.