Health First Health Plans, a Florida-based health insurer, has deployed Amisys Advance claims administration platform, outsourcing services and other software applications from DST Health Solutions.
DST Health Solutions is providing core claims administration processing services on its platform, Amisys Advance, which is designed to help health plans decrease claims turnaround time and improve claims accuracy.
According to DST Health Solutions, Amisys Advance helps health plans such as Health First Health Plans achieve higher auto-adjudication rates by simplifying administrative processes.
In addition, Health First Health Plans is utilizing DST Health Solutions to manage and support the integration of medical care management, medicare advantage and web portal applications and business processes.
DST Health Solutions’ full solutions suite is expected to help Health First Health Plans enhance member services and improve care quality. Amisys Advance enables Health First Health Plans to integrate claims administration with new solutions for medicare advantage, medical care management and member communications. The new web portal provides members and healthcare providers access to claims, eligibility, medical authorization and other benefit information.
Jim Gillespie, vice president of information systems for Health First Health Plans, said: With the onset of healthcare reform and the increasing cost of maintaining complex, modern technology, we made a strategic business decision to outsource core claims administration processing to DST Health Solutions.
DST’s end-to-end business process solutions for claims administration, customer retention management and multi-channel communication are helping us improve quality of care, decision making and overall operational efficiency.
Steve Sabino, president of DST Health Solutions, said: We are very pleased to provide Health First Health Plans with our claims administration platform and outsourcing services. This comprehensive approach to health plan administration will help Health First Health Plans remain competitive, improve efficiency and increase member satisfaction.