From Enrollment to Submissions
and Everything in Between
for all their lines of business.
ADVANCING THE DELIVERY OF CARE
No matter what your reimbursement model,
line of business (Medicare, Medicaid or Commercial)
or payer type (Health Plan, TPA, ACO or Physician Group),
Advalent has you covered!
OUR PRODUCTS
Claims Administration
Control your payment and adjudication processes with flexible claims technology that supports the latest trends in value-based reimbursement.
Enrollment
Enhance member engagement and experience with connected tools that drive delightful experiences at every member touchpoint.
Risk Adjustment
Improve risk score and payment accuracy through suspect HCC analytics and deploy operational activities to close gaps in care.
Premium Billing
Automate billing, perform revenue reconciliation and manage delinquencies for all lines of business to effectively manage payments at a lower cost.
Clinical Quality
Close gaps in care and improve quality and compliance through advanced HEDIS and STARS measurement and advanced analytics.
Encounter Submissions
Seamlessly submit and easily correct errors for all lines of business – RAPS, EDPS, EDGE, APCD & Medicaid.
Why Advalent is better
Interoperable with Existing Solutions
Use Advalent on its own or in conjunction with existing claims administration, risk adjustment, member management, and care management solutions
Painless Implementations
Handle a multitude of business environments and integrations with configurable choices that are as easy as flipping a switch
Rules Based and Flexible