| Eldorado and HealthCare Insight Team Up |
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FOR IMMEDIATE RELEASE Eldorado Computing and HealthCare Insight Team Up to Provide Prepayment Phoenix, Arizona/Salt Lake City, Utah – 19 January 2005 – HealthCare Insight, LLC (HCI) and Eldorado Computing, Inc. (ECI) form a strategic alliance to promote HCI’s fraud, abuse, and overpayment prevention services to ECI’s 130 healthcare payer clients. Shasta Administrative Services is ECI’s first client to go live on HCIfirstinsight®, a daily post-adjudication/pre-payment review. Through the use of an ECI written export utility program, ECI’s HEALTHpac 4 customers will benefit from prospective protection against fraud and abuse with HCIfirstinsight® and HCIwebsentry®, comprehensive quarterly fraud reports that identify potentially fraudulent providers, and HCIfacilityinsight®, a proactive approach to identifying overcharges and fraud in in-patient/outpatient and in-network-and-out of network facility bills. “The integration of HCI’s fraud and abuse solutions coupled with ECI’s health benefit management HEALTHpac product suite will not only save ECI customers an additional two to six percent in healthcare expenses, but they also provide a safety net that will report overpayments for almost any reason,” says Ken Lamé, managing partner of HCI. According to Zane Bell, CEO and founder of ECI, “Several of our healthcare payers have already submitted historic datasets for a free retrospective fraud and overpayment analysis, which is a key indicator that our clients recognize the need and benefit of fraud and abuse detection service and solutions.” About HealthCare Insight HealthCare Insight (HCI) offers a comprehensive suite of cost reduction services to Third Party Administrators (TPA) and other payer organizations that adjudicate healthcare claims. HCI is a HIPAA compliant Business Associate that specializes in offering prepayment fraud, abuse and overpayment prevention services that can reduce health care costs in excess of six percent! HCI's one-of-a-kind approach combines the enhanced accuracy of clinical analysis and evaluation with the incredible power of system-based modeling, detection, and profiling. All suspect claims and billing patterns are reviewed by Registered Nurses and/or Physicians skilled in coding and reimbursement decisions. This unique combination of human and system review create a service unlike any other in the industry and provide payers with unsurpassed claims payment accuracy and fraud prevention. For more information on HCI’s services call Charlie Hults at (801) 990-1814 or visit: www.hcinsight.com. About Eldorado Computing Based in Phoenix, Eldorado is a recognized leader in providing integrated HIPAA-compliant software and ASP solutions for health benefits management. The company serves hundreds of third party administrators (TPAs), health plans, employers and self-insured organizations. Together, Eldorado's customers manage five million lives and handle 35 million claims annually. For more information, contact (602) 604-3100. |
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