OUR SERVICES

Our goal is to provide clients with custom solutions by analyzing and understanding their business needs, providing streamlined services, and focusing on our proven systems techniques and management style.

OUR SERVICES INCLUDE:

  • Hosting for ten different Health Plan environments
  • Specific financial reporting support for several Interstate Health Plans
  • TAFT-HARTLEY PROCESSING: Interfacing between Taft-Hartley funds and Interstate Health Plans, providing tools and implementation support services for system-wide efficiency
  • CLAIMS ADJUDICATION SUPPORT: We customize, install, maintain and support common software in multiple locations for Interstate Health Plans
  • Ad hoc data analysis
  • ITS Installation support
  • Specification development and testing
  • Marketplace
  • HIPAA translation services – 837/835
  • Mainframe and server hosting services

HELP DESK

  • We provide in-house 24/7 assistance for client support, claims adjudication, development, and production support
  • Our help desk is known for going above and beyond. Working with our client’s accounts, we have the capability and resources to resolve issues, help process adjudications, automate claim adjustments, and provide extra checks and balances for security and thoroughness
  • We provide ongoing user and technical support in addition to our 24-hour a day help desk

WEB SERVICES:

  • We build web services that support claims adjudication, using the IBM WebSphere platform

PARTIAL CLIENT LIST:

  • MPL – Medical Plan Liaisons (New Jersey, Connecticut, Massachusetts)
  • Payer Technologies (Washington, Maryland, Vermont, Massachusetts)
  • Several other Interstate Health Plans

WHY US?

  • Our management team has nearly 30 years experience working with Interstate Health Plans, providing a value added commodity for our client base
  • Our seasoned staff is there to help our clients analyze claims and assist in adjudication
  • In a sea of computerized tech support, we provide the personal touch. Our staff works one on one with clients to assist their needs, and find solutions quickly and accurately
  • Our exclusive combination of Interstate Health Plan software plus customization offers a unique, well produced, and efficient product for our clients
  • We provide continual professional training for our staff in order to stay current with systems and processes
  • Professional Data Solutions is located in the northeast United States with staff members across the United States to serve our clients