NASHVILLE, Tenn., Aug. 5 /PRNewswire/ -- Emdeon, a leader in revenue and payment cycle management solutions, today announced the implementation of its first major customer following the recent acquisition of The Sentinel Group. The Sentinel Group, a recognized leader in healthcare fraud and abuse management services, was acquired by Emdeon on June 5, 2009.
The Sentinel Group acquisition expanded Emdeon's portfolio of offerings to help identify potential financial risks much earlier in the claims administration cycle and create efficiencies and cost savings for both payers and providers. Emdeon's network connects 1,200 government and commercial payers, 500,000 providers, 5,000 hospitals, 81,000 dentists and 55,000 pharmacies. Leveraging the breadth and scale of its network, Emdeon drives consistent workflow, information exchange and risk management services for healthcare providers and payers. Integrating fraud and abuse detection logic within Emdeon's existing network should make earlier detection possible within the revenue cycle while streamlining delivery of non-affected claims.
"Emdeon can now offer a myriad of solutions with a custom fit for each specific client," said Kelli Garvanian, Emdeon's vice president for fraud and abuse. "Furthermore, the in-stream nature of fraud and abuse detection logic, coupled with Emdeon's existing electronic transaction network, allows for seamless implementation with virtually no additional infrastructure investments required by our payer customers," Garvanian explained.
Within days of the acquisition, Emdeon began offering expanded solutions to its customers and recently completed the implementation of fraud and abuse services with its first major existing customer, the insurance subsidiaries of the Texas-based HealthMarkets Companies, providers of individual health insurance plans. Integrated with existing services such as claims processi
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