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Unique markets provide unique challenges. That’s why we tailor our payment integrity solutions and services to fit your needs and goals. Learn more about our customized services and how clinical validation delivers better results.
Each market and client is unique. One size never fits all. We customtize every solution for every customer.
URAC standards ensure that only appropriately trained, qualified clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical...
www.urac.org
URAC’s HIPAA Privacy and HIPAA Security accreditation programs outline a framework of best practices that describe the operational policies and procedures necessary for an effective compliance program...
www.urac.org
SAS 70 is an internationally recognized auditing standard developed by the American Institute of Certified Public Accountants (AICPA). SAS 70 is an acronym for 'Statement of Auditing Standards...
www.aicpa.org
The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information...
www.hhs.govMemberships & Associations
NHCAA
The core mission of the NHCAA is to protect and serve the public interest by increasing awareness and improving the detection, investigation, civil... www.nhcaa.org
AHIP
AHIP provides a unified voice for the community of health insurance plans. We have developed innovative solutions to promote universal... www.ahip.org
NADP
NADP is the largest non-profit, national trade association focused exclusively on the entire dental benefits industry, i.e. dental HMOs, dental PPOs... www.nadp.org
CHT
The CHT is a high-impact collaboration of private and public sector leaders committed to creating a 21st Century Intelligent Health System that saves... www.healthtransformation.net
SLC Chamber
The Salt Lake Chamber is a private, non-profit organization that represents the business community of Utah statewide...
www.saltlakechamber.org
CAHP
The CAHP is a statewide trade association representing 39 public and private health care plans that provide coverage to more than 21 million... www.calhealthplans.org
