A profile about the people, projects and experiences behind their work. Discover their career, contributions and connections.
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A thoughtful collaborator who builds great products and supports the people around them.
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A thoughtful collaborator who builds great products and supports the people around them.
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A profile about the people, projects and experiences behind their work. Discover their career, contributions and connections.
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A thoughtful collaborator who builds great products and supports the people around them.
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Cosigner name
A thoughtful collaborator who builds great products and supports the people around them.
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A profile about the people, projects and experiences behind their work. Discover their career, contributions and connections.
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A thoughtful collaborator who builds great products and supports the people around them.
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A thoughtful collaborator who builds great products and supports the people around them.
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ACM
ACM Business Solutions delivers specialized technology consulting services to healthcare organizations with a focus on claims processing, benefits administration, and EDI integration. With over 25 years of experience, and deep expertise in platforms like EZ-CAP, our team helps health plans, MSOs, IPAs, TPAs, ACO, and other providers modernize systems, improve operational efficiency, and meet complex regulatory requirements.
Example of services
• Developing custom software and utilities
• EDI Services on all X12 transactions 837P, 837I, 835, 834, 278, 270/271, 276/277
• Creating Fee Schedules and Benefits from Health Plan Evidence of coverage files
• Analyzing and creating of auto adjudication rules for auto certification
• Developing websites and portals
• Developing reports from simple to complex for compliance, ODAG, CMS
• Support in HEDIS and NCQA certification
• Support in Medicare, Medicaid benefits administration from eligibility inloads to referrals to claims processing to payment processing
• Support in developing value-based pricing models
• Migrating data from legacy systems to newer systems, and new client onboarding into current applications
• Archiving data for syst
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A thoughtful collaborator who builds great products and supports the people around them.
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Cosigner name
A thoughtful collaborator who builds great products and supports the people around them.