Unibased Systems Architecture Selects Provider Advantage as Insurance Eligibility Verification Vendor of Choice

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Unibased Systems Architecture, Inc., (USA) has reached an agreement with Provider Advantage (PA) to provide automated, integrated insurance verification to USA clients. The agreement provides USA customers a source for real-time eligibility verification from a proven leader in the industry. Provider Advantage improves cash flow operations by validating insurance coverage up-front, reduces exposure to uncompensated care, and ensures dissemination of accurate insurance information. In the event of a payer audit or reimbursement challenge, Provider Advantage provides a secure audit trail of eligibility data.

Unibased Systems Architecture, Inc., (USA) has reached an agreement with Provider Advantage (PA) to provide automated, integrated insurance verification to USA clients. The agreement provides USA customers a source for real-time eligibility verification from a proven leader in the industry. Provider Advantage improves cash flow operations by validating insurance coverage up-front, reduces exposure to uncompensated care, and ensures dissemination of accurate insurance information. In the event of a payer audit or reimbursement challenge, Provider Advantage provides a secure audit trail of eligibility data.

“This arrangement allows USA customers to selectively launch an eligibility request, using the PA VeriLink system, directly from RMS/ORMS” stated Barry M. Rundquist, USA’s CEO. “The response will usually be returned before the scheduling call is completed, with the resultant data parsed between RMS/ORMS and the customer’s billing system. Moving this process up to the scheduling event should provide a significant cash flow benefit.”

Established in 1991, Provider Advantage provides innovative products and services that allow health care providers to electronically communicate with Health Plans properly. They develop and support software and electronic data interchange (EDI) services that allow organizations to manage insurance data to generate operational efficiencies and increase cash flow. The Provider Advantage real-time eligibility verification service provides fast, reliable, high quality eligibility data. Healthcare providers get real-time access to Medicaid and commercial health plan eligibility files and insurance data. Provider Advantage offers all the tools needed to confirm patient eligibility to support reimbursement. Features include: The ability to find a patient’s eligibility without the patient’s ID card. Gain direct access to Medicaid, commercial insurance or Medicare (Part A, some products) databases. Receive a response formatted for quick reading and easy interpretation. Review a comprehensive list of covered services. An electronic or printed document to support appeals for rejected claim payments. Look back 12 months for eligibility history (some plans).

"We are very excited to be working with USA. By launching eligibility inquiries at the earliest point in the patient access process; USA continues to prove their value to their customers and their leadership as the premier provider of patient access and resource management software solutions to the healthcare marketplace," stated Ted Tomkins, President and CEO, Provider Advantage.

About Unibased Systems Architecture (USA)

USA is ranked 2nd among the entire market of 300+ HIT solution vendors who provide more than 600 solution products. USA’s Resource Management System (RMS) is ranked first in the Enterprise Scheduling market category, and periOperative Resource Management System (ORMS) is ranked first in the Surgery Management Systems market category. USA’s reputation for product quality, reliability, and supporting services has no equal in the HIT industry. USA and its products have maintained highest rankings from the KLASTM independent reporting for the last five years. The most recent KLASTM Top 20 report was published in December, 2003.

USA markets various products which are open, scalable, integrated client/server and web enabled solutions, designed to meet the unique needs of sophisticated enterprise organizations. USA has major solution offerings in the HIT and air travel markets, providing real time production scheduling, human resource, security and financial systems. In the HIT industry, RMS is an integrated solution which schedules and tracks patient resource needs from pre-access through follow-up. RMS also monitors the effectiveness of clinical programs, financial productivity and capacity management. ORMS is an integrated module which addresses OR scheduling, surgeon preferences, suite utilization, materials management, clinical worker training and certification. RMS/ORMS results in significant improvements in physician and patient relations. USA products and services are available through direct sales, marketing partners, value added resellers and system integrators. USA is a private corporation founded in 1986, and is based in Chesterfield, Missouri. Visit USA on the web at http://www.unibased.com.

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Barry M. Rundquist