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Technology

MultiPlan's EnterPrice technology is the "gold standard" of claim repricing platforms. Based on TriZetto's popular claim processing software and fully HIPAA-compliant, EnterPrice has been extensively refined for our robust business requirements to ensure that our clients gain the utmost flexibility in adjudicating and paying claims, and that our providers receive correct, timely payment. In particular:

  • Our network repricing engine handles an annual claim volume in excess of 40 million claims reduced with 99 percent accuracy, a superior auto-reprice rate, and same-day turnaround for over 97 percent of claims received electronically.
  • A fully integrated negotiation services application puts state-of-the-art information and workflow process management at the fingertips of our approximately 300 professional negotiators and support staff who work with non-network providers to achieve claim-specific reductions.
  • Our service department leverages sophisticated telephony and extensive web-based applications to record, research, track and resolve over 70 percent of issues within one business day.

EnterPrice resides on hardware backed by best-in-class business partners Hewlett Packard, Oracle, EMC and Cisco Systems. A business continuity plan created with the assistance of industry-leader Sungard Availability Services ensures a fast recovery from disaster events that lead to loss of business systems or locations.