SourcEdge

SourcEdge, An Alivia Company, was Cognizant’s First #Healthcare Certified Consulting Partner. During this 4-day event, SourcEdge and Alivia Analytics will discuss its combined products and services for commercial and government health plans. This will include a Session and Facets Case Study about masking PHI using #Deidentification for #Cybersecurity. Here are the details… SourcEdge’s specialized IT and connectivity expertise plus Cognizant’s TriZetto Healthcare Products (Facets / QNXT) modernizes outdated claims systems to improve insurance payments, productivity, value-based care, and integration with other applications. Alivia’s #AI powered Healthcare Payer Analytics Platform and tech-enabled services help health plans address growing #PaymentIntegrity challenges of #FraudWasteAbuse #FWA plaguing the healthcare system. Analytics modules also include #ClaimsEditing and #VBCmodeling. These solutions demonstrate the efficiency of modern #healthcaretechnology and digital transformation. SESSION & CASE STUDY: Facets & PHI DeIdentification For Your Non-Production Environments, Where Data is Exposed Presented by: Stephen Sideris, Data security expert and VP of Health Plan Services. Formerly SVP at Visiant Health. Brad Hutson, Cyber security expert and Chief of Cyber R&D for the Cyber Security Forum Initiative. Learn More: https://lnkd.in/eVy-3Hiz See you in Orlando! #CognizantHSC

Recent data breaches highlight the increased and constant attack that #healthcare is under. Let us share our data management solution and success stories for masking PHI, including X12 EDI, using #deidentification to ensure patient privacy and maintain regulatory compliance. Hear from our experts in a productive discovery call: Brad Hutson -- Professional “white hat” hacker and Chief of Cyber R&D for the #CyberSecurity Forum Initiative. Stephen Sideris -- Data security expert and Vice President of #HealthPlan Services. Formerly SVP at Visiant Health. Formerly SourcEdge, acquired by Alivia in February 2024. We have unique expertise in all claims systems – AMISYS, Cognizant TriZetto Facets / QNXT, HealthEdge / HealthRules, Conduent HSP, PowerMHS / PowerSTEPP. ? [Learn More. Schedule Meeting.] https://lnkd.in/eyhxNp4F #PHIsecurity #healthtechnology #dataanalytics #claimsmanagement #paymentdata

We have exciting news! SourcEdge is becoming part of Alivia Analytics. The combined products and services offer commercial and government #healthcare payers complete claims lifecycle solutions. Our claims systems modernization IT capabilities have been strengthened with an #AI powered #paymentintegrity platform and case manager with robust data and analytics for #frauddetection #fraudprevention #FWA. Read the full announcement with comments from Alivia CEO Michael Taylor MD, SourcEdge CEO now Alivia President Mark McAdoo, and former HMS CEO and Alivia Board Member Bill Lucia. https://lnkd.in/ee-uqHPP Fusing these capabilities also includes the formation of a Tech-Enabled Services practice that uses the platform to provide SIU / #fraudinvestigations resources, pre-pay clinical reviews, post-pay recovery audits, and end-stage renal disease (ESRD) premium protection. #claimsmanagement #healthtechnology #paymentdata #aihealthcare #casemanagement #dataanalytics #hitrust #PHIsecurity #deidentification #valuebasedcare

We wish our many clients, partners, and friends a safe and peaceful #HappyHolidays2023 and a prosperous 2024. From Mark McAdoo, Stephen Sideris, Kevin Wisniewski, Eric Two Bears, Susan Davenport, Owen McAdoo, Jeremy Williams, and the rest of the SourcEdge team. https://sourcedge.com/?

ClaimOptima? by SourcEdge is quickly demonstrating how #TriZettoFacets product builds can be automated and optimized in a simple-to-use testing platform. What users are saying: -- “Transforming our testing process is quick and error-free. A true productivity booster!” -- “The accuracy and speed of the tool is unmatched. It's a vital asset for our team.” -- “Uploading benefits and testing claims is incredibly efficient. A workflow game-changer.” ? Watch video. Get demo. Learn more: https://lnkd.in/ehVbSYz3 ? SourcEdge is a trusted Cognizant / TriZetto Healthcare Products partner with over 25 health plan customers in the US. #heathcare #claimsmanagement #healthcaretechnology

The industry's first and only platform that automates and optimizes the testing of #TriZetto Facets product builds. With ClaimOptima? by SourcEdge, convert weeks into minutes with rapid testing using your health benefit designs and test claims - all seamlessly working together. - Improve the quality of testing results - Speed the time of testing - Reuse & centralize knowledge - Use fewer amounts of testers See how ClaimOptima works. WATCH VIDEO. SCHEDULE DEMO. Speak to Owen McAdoo https://lnkd.in/ehVbSYz3 Proud partners of Cognizant / TriZetto Healthcare Products #ClaimsSystems #HealthcareTechnology #HealthcarePlans #Healthcare