Claims Management/Information Technology
College Health IPA and Comprehensive Behavioral Health Management believe that our providers are one of our key customers. As a behavioral health delivery system, we are committed to demonstrate a high level of customer service with our providers. We respect their time and recognize that providers have a choice of which companies they select to conduct their business with. Our relationship with their office managers, billing companies, and other support staff is an essential part of creating a viable long term business partnership. Our claims management system allows us the flexibility to customize reimbursement models while at the same time maintaining a high level of performance. Payment promptness and accuracy are at the core of the claims departments mission. Through our relationship with our technology vendor, Raintree Systems, we are able to accomplish the following:

• Payment of Clean Claims According to Accepted Standards
• Reporting Capabilities to Monitor Closely for Parity and Other Special Requests
• Internal Checks and Balances to Minimize Administrative Denials
• All Telephonic Claims Inquiries Responded to within 24 Hours of Receipt
• Prepayment and Other Reimbursement Models to Increase Provider Satisfaction
• HIPAA Compliant Claims Submission
• Reporting According to NCQA and HEDIS targets
• Speciality Utilization Data Reporting Per Business Partner Specifications
• Customization of Provider Searches
• Automatic Call Distribution Center Customized Reporting
• Conduct Pertinent Analysis of all Utilization and Direct Medical Costs
• Monitoring of Medical/Loss Ratio