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Emdeon Closes The Sentinel Group Acquisition, Implements First Customer in Less than 30 Days
Date:8/5/2009

ng and payment distribution, the addition of Sentinel's fraud and abuse solutions provides the HealthMarkets Companies with a robust solution that helps detect fraudulent activity before processing the claims.

Emdeon's pre-processing capabilities, coupled with the rapid in-stream implementation, required virtually no resource investment by HealthMarkets. This approach is expected to yield immediate benefits to HealthMarkets and its insurance subsidiaries in combating fraud, waste and abuse, which is a problem experts estimate costs the healthcare industry more than $70 billion per year.

"HealthMarkets was evaluating the fraud and abuse vendor market for several months prior to Emdeon's acquisition of The Sentinel Group," said John Hunter, senior vice president of operations at HealthMarkets. "Given our long-standing contractual relationship, Emdeon became an obvious choice to provide HealthMarkets with fraud, waste and abuse services. Within 30 days of the initial discussions, Emdeon conducted an impact analysis to estimate savings and implemented a custom solution to fit our needs," he said.

"Emdeon is helping to create an efficient, expedient and transparent payment reimbursement process," said Gary Stuart, executive vice president of payer services at Emdeon. "More importantly, we are attempting to lead the healthcare industry in a paradigm shift away from the antiquated pay-and-chase method and towards a straightforward pre-payment approach. Everyone wins when payments are made in an accurate and timely manner, without inefficient and unnecessary back-end rework," Stuart said.

About Emdeon

Emdeon is a leading provider of revenue and payment cycle management solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon's product and service offerings integrate and automate key business and administrative functions of its payer and provider
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