Operational Utilities

Specialized tools designed to automate and streamline critical healthcare administrative operations — from fee schedule generation and data deduplication to encounter management and bulk claims processing.

Purpose-Built Tools for Healthcare Operations

Each utility is designed to solve a specific operational challenge — reducing manual effort, improving data quality, and accelerating processing throughput.

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Fee Schedule Tool

Generate healthcare fee schedule import files from any file formats. Supports multiple fee schedule types.

Automated file generation
Supports MEDI-CAL, CMS Part B (ASP), Clinical LAB, DME, and MPFS schedules
Role-based user management with Supervisor controls
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Merge Tool

Resolve duplicate records by consolidating Billing Provider (Vendor), Provider, and Member entries into single authoritative records.

Merge duplicate Billing Provider (Vendor) records
Consolidate Provider records while preserving claims history
Resolve Member duplicates
Enhances data accuracy across claims and authorizations
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Outbound Encounters Utility

Automate the validation and correction of encounter errors before outbound submission.

Pre-validation with report generation
Automated fixes for data quality issues
Post-validation confirmation
Configurable for multiple companies
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Claims Utility

Perform bulk claim status updates and mass claim denials via Excel or CSV input.

Bulk claim updates via Excel/CSV
Mass claim denial processing
Real-time processing counter
Configurable status codes
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