SISCO, a third party administrator, has connected to Coalition America, Inc. (CAI) via Acclamation System Inc.’s (ASI) streamlined EDI connectivity solution for LuminX users.
The new enhancement reportedly allows LuminX clients to electronically transmit in- network and out-of-network medical bills to CAI for repricing. The bills are quickly returned electronically to the client for auto-adjudication. The process can occur on either a pre- or post-adjudication basis. The solution is free to LuminX customers.
“We are very pleased with the impact of this system enhancement,” said Dick Sigwarth, director of Operations, privacy officer, Cottingham & Butler / SISCO, Employee Benefits Division. “We streamlined our operations by significantly reducing the manual processes associated with repricing out-of- network claims. The result is greater savings for our clients and lower administrative costs for our organization,” said Sigwarth.
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