WESTBOROUGH, MASS. — July 20, 2016 — Advalent, a pioneer of healthcare technology solutions is announcing its 3R EDGE Plus solution, a full featured HIPAA compliant encounter solution as a no fee solution for 2016 data submission. An approved Encounter Submission vendor for Medicare and FFM lines of business, Advalent using years of data submission experience has created an optimized platform which makes it easy for health plans to meet their objective in delegating minor and repetitive modifications. Advalent’s 3R EDGE Plus solution offers participating health plans a comprehensive and innovative HIX EDGE server solution, enabling Qualified Health Plans (QHPs) to accurately submit files to Health and Human Services (HHS). These submissions are achieved quickly and cost-effectively, ensuring the plan is protected from adverse selection, inaccurate rate setting and over-the-limit claims. Advalent’s 3R EDGE Plus solution has built-in rules adhering with the Accountable Care Act (ACA) and HHS data submission requirements along with risk adjustment and reinsurance reporting. Advalent 3R EDGE Plus automatically converts enrollment, medical and pharmacy claims from client-specific data sources to create HHS-defined files for HIX data submissions. Our adaptive, user friendly dashboards and analytical reports allow for quick understanding of the HHS submissions and response. Health plans can make changes and resubmit in order to improve ACA risk adjustment and reinsurance reimbursement and achieve a complete and accurate risk score analysis.
- Up to 24 data submissions
- 24 hour turn around
- Submission timeliness
- Pre-configured EDGE rules
- Instant results and reports dashboard
- No fee for Encounter year 2016 submission
Advalent 3R EDGE Plus platform is easily extendable as a full Encounter Management Platform to support multiple lines of business with different sets of rules to be applied on the same data set, minimizing the time needed to implement additional data loads and defining custom rules.
Advalent is reinventing the way healthcare technology is acquired, delivered, used and paid for with innovations such as standardization, unification and the universal availability of tools at an affordable cost. Our team of experts has deep payer and provider experience and a full understanding of the technical and business requirements mandated by the Affordable Care Act (ACA) and Centers for Medicare and Medicaid Services (CMS). We are applying our skills and knowledge to make healthcare IT more widely available and affordable. Founded in 2009, Advalent is based in Westborough, Massachusetts. Advalent offers 3R EDGE Plus server under a no obligation try and buy model. Reach out to Advalent to experience Advalent’s solutions. To learn more, please visit www.advalent.com for more information on how Advalent can help your organization