Information Technology
The LuminX Claim Managing System and Your Monthly Reports
Consolidated Health Plans' state-of-the-art LuminX system is the most sophisticated system of its type on the market today.
The LuminX system provides the utmost in claims management capabilities:
- EDI Claim Adjudication
- Electronic Claims Scanning with Optical Character Recognition
- Late entrant review coordination;
- Application of reasonable and customary benefit payment limits;
- Application of the network provider’s negotiated rate;
- Coordination of benefits review;
- Application of subrogation clauses;
- Automated match to utilization review determinations;
- Detects unbundling and upcoding.
We will automatically provide you with the following meaningful and easy to read, reports on a monthly basis:
- Check Register
- Coverage Analysis
- Benefit Analysis
- Paid Claims Register
- Paid Claim Analysis
Additionally, our LuminX system has the capability to produce many customized reports. We will work with you to customize any report to meet your specific needs.