FUNCTIONAL EXPERTISE

About Us > Functional Expertise

Any implementation, whether it is a large system application or a small procedure, brings in cultural, technical and procedural change to a Health Plan organization. All implementation from large scale system replacement to plug and play application requires careful planning, strategy and execution.

At Agile, we understand the need of any such implementation from Program management to administration, from Data configuration to process development, Migration and conversion to technical implementation such as integration, reports and extensions. Our experienced professionals provide their valuable services in realizing implementation of all magnitude to our valued customers.

 

We are experienced in various vendor packaged applications and their implementation such as –

  • Trizetto Products – FACETS, HIPAA Gateway, NetworX, Workflow, CareAdvance Enterprise, QNXT, POS, QuoteToCart, EAM etc.
  • Ingenix – iCess, McKesson Claim Check and Claims Xten, PAM
  • EDS MetaVance
  • AMISYS

Our specialized skills in configuration and business process includes all areas of Health Insurance such as Membership, Plan & Product, Benefits, Provider networks, Accumulator, Rates, Quotes, Proposal, Claims Adjudication, Claims Disbursement, Utilization Management, Fee Pricing, NetworX configuration, Integrated Health Management, AFA /ASO Group Configuration, Medicaid / Medicare, Pharmacy Benefit Manager, EDI Standards such as HIPAA 5010 and 4010. EDI, X12, HL7, NCPDP etc.

In addition, our experienced professionals are always up to date with the latest business and technology trends in the market. Combined with their excellent learning curve and experience in existing packaged applications in the market, they easily adopt new products and help our customers in implementing them.