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Category Archives: TPAs

About Techcusp

Posted on October 27, 2014 | Categories: Analytics, Apps, Banking/Fs, BPM, Business Intelligence, Care Management, Consulting, CRM, Database, Document Management, Employee Benefits, Health Cusp, Health Exchange, Health Insurance, HealthCare, Insurance, ISVs, IT Services, JAVA, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, PBMs, Pharmacy Benefit Management (PBM), Portal, PPO Network, Providers, Qulaity Assurance (Testing), RCM, Software Development, Tech Cusp, TechCusp.com, Technology Stacks, TPAs, Website Development | Posted by: admin

What is Techcusp.com (TCC)?

 

  • TCC is IT Services & Software Development firm with sweet spot into Insurance, HealthCare & Banking

 

What are the Services of TCC?

 

  • Application Development
  • Business Process Management (BPM)
  • Quality Assurance (QA – Testing)
  • Mobility (MDM)
  • Business Intelligence (BI) – Data Warehouse, Data Analytics, Data Dashboard
  • System Integration
  • Staffing – Consulting

 

What are the Products (IP) of TCC?

 

  • Pharmacy Dashboard & Reporting

 

How TCC is different?

 

  • We are focused into Mid-market opportunities i.e. deal size less than $10 million.
  • We are USA HQ firm
  • We are focused into Insurance IT, HealthCare IT and Banking IT
  • TCC Delivery capabilities are Managed Services (Onshore-Offshore), Consulting Services (Onshore-Onsite)
  • We are Price competitive
  • TCC Management & Executive Team has over 100 Years of work experience into domain, workflows, IT & Outsourcing space

 

What are sister firms of TCC?

 

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HealthCare – Technology Services & Software Development

Posted on May 5, 2014 | Categories: Apps, Business Intelligence, Care Management, Employee Benefits, Health Cusp, Health Exchange, Health Insurance, HealthCare, Managed Long Term Care, Medicare, MLTC, Mobile Apps, PACE, PBMs, Providers, Software Development, Tech Cusp, TechCusp.com, Technology Stacks, TPAs | Posted by: admin

HealthCare – Technology Services & Software Development

 

Though we are technology agnostic yet we bring deep expertize around Microsoft Stacks (BizTalk, SharePoint, SQL Server, ASP .Net), Java stacks (J2EE, Apache, TomCat, Hibernate), Oracle stacks and Open Source stacks (PHP, WordPress, Joomla, Linex  etc) to solve your HealthCare business needs.

 

Our IT Services & Software solutions for your healthcare company can map your growing needs on:

 

  • Accountable Care Organizations (ACOs)
  • Billing & Practice Management
  • Care Coordination & Meaningful Use
  • Claims Administration
  • Clinical Services
  • EMR/EHR
  • Health Co-Ops
  • Health Exchanges
  • HIPAA / PHI / CMS compliance
  • Improving communication between healthcare partners
  • Life Sciences
  • Medicare – MA, MAPD, PDP
  • MLTC & PACE Program
  • MMIS
  • Pharmacy Benefit (PBM)
  • Population Health Management (PHM)
  • Portal
  • Wellness Program

 

We develop custom IT solutions to help your business collaborate with your customers, employees, and healthcare partners. Tech Cusp has experience in all sectors of the healthcare industry and is proficient in Meaningful Use criteria, disease management, electronic health records, and outcomes solutions. We specialize in data integration that converts data into predictive and actionable information so that healthcare organizations can comply with federal and state reporting requirements.

 

Tech Cusp uses Agile Development Methodology to deliver your company’s healthcare technology objectives. It includes needs assessment, gap analysis, design, development, deployment, and knowledge transfer.

 

Healthcare organizations rely on industry standards, such as HIPAA 5010, ICD-10, and HL7 to process transactions. We understand that complying with framework or statutory guidelines are not simple. Tech Cusp specializes in HIPAA 5010 data integration and transformation. We provide gradual transition from 4010 to 5010 and ICD 9 to 10. Reporting and automated claims remediation is essential for reducing costs and increasing efficiencies. Techcusp.com has proven methodologies and proven track records in this space. Our HL7 solutions can meet your healthcare business challenges, such as ordered message delivery, FIFO requirement compliance, metadata archival and information processing. Our HL7 solution provides flexibility and scalability for:

  • Automated claims processing
  • Full interface monitoring and reporting
  • Ordered message delivery
  • Real-time exception handling

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Techcusp sweet spot – IT Services & Software development for HealthCare

Posted on April 29, 2014 | Categories: Apps, Care Management, Employee Benefits, Health Cusp, Health Exchange, Health Insurance, HealthCare, IT Services, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, PBMs, PPO Network, Providers, Software Development, TechCusp.com, Technology Stacks, TPAs | Posted by: admin

Techcusp sweet spot – IT Services & Software development for HealthCare

 

We build custom software & integrate Systems/Platform for HealthCare Services firm. Techcusp.com sweet spot is Health Payers & Providers i.e.

 

  • Accountable Care Organizations (ACOs)
  • Care Coordination
  • Care Management
  • Case Management
  • Claims Administration
  • Clinical Services
  • Credentials Verification Organization
  • Dental Plans
  • Disease Management
  • Electronic Data Exchange (EDI)
  • Employee Benefits
  • Health Enrollment
  • Health Call Center
  • Health Content Provider
  • Health Insurance Exchange (HIX)
  • Health Network
  • Health Plans
  • Health Utilization Management (UM)
  • Health Web Site
  • HealthCare Brokerage
  • HIPAA Privacy & Security (PHI)
  • Home HealthCare
  • Independent Review Organization
  • Limited Medical
  • Mail Service Pharmacy
  • Major Medical
  • Managed Long Term Care (MLTC)
  • MCOs
  • Meaningful Use (MU)
  • Medical Management
  • Patient Centered Medical Home (PCMH)
  • PCAE
  • Pharmacy Benefit Management (PBMs)
  • Practice Management
  • Property and Casualty Pharmacy Benefit Management
  • Radiology Benefit Management (RBMs)
  • Revenue Management
  • Self-Funded Plans
  • Specialized Nursing Homes (SNFs)
  • Specialty Pharmacy
  • Third Party Administrators (TPAs)
  • Vision Plans
  • Wellness Management
  • Workers’ Compensation
  • Workers’ Compensation Utilization Management

 

 

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Help with Third Party Admin (TPA) – Systems, Platform and Software Development

Posted on April 20, 2014 | Categories: TPAs | Posted by: admin

Help with Third Party Admin (TPA) – Systems, Platform and Software Development

 

TechCusp could help build state-of-the-art system for your Self-funded, TPA, WC, ASO or Managed Care needs. We have deep capabilities around

 

  • Analytics
  • Billing & Receipt
  • Case Management
  • Claims Admin (Medical, Hospital, Prescription, Vision, Dental)
  • Cobra administration
  • CRM
  • Disease Management
  • Duel Eligibility
  • EDI (Eligibility, Claims & PA)
  • Eligibility
  • Enrollment
  • Master Contract Maintenance
  • Member service
  • Pension administration
  • Portal
  • Pre-authorization
  • Utilization Management
  • Workflows (PBM)

 

Why Techcusp?

 

  • Custom solution as per your Budget, needs and time frame
  • Boost Claim Processing Productivity
  • HIPAA, PHI & ACA Compliant Solutions
  • Interactive & efficient Portal
  • Medical, Dental, and Vision Claims
  • Reduce Benefit Administration Costs
  • Seamless Automation
  • Smarter Customer service applications

 

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Help with Third Party Administrator (TPAs) – System, Software & IT Services

Posted on April 18, 2014 | Categories: TPAs | Posted by: admin

Help with Third Party Administrator (TPAs) – System, Software & IT Services

 

 

Techcusp.com could help you with following workflows

 

  • Workflow Management – BPM
  • Care Management System
  • Claims Admin System
  • CRM System
  • Member Services System
  • Eligibility System
  • Enrollment System
  • Mobile Apps
  • PBM System
  • Population Health Management – PHM
  • Interactive Portal
  • Private Health Exchange
  • Workers Comp
  • Wellness

 

Top 250 TPAs – Life, Health & Workers Comp

 

 

 

 

Top 25 Indian Health TPAs

 

 

  • Alankit Health Care Limited
  • Anmol Medicare Ltd.
  • Anyuta TPA in Healthcare
  • Dawn Services Pvt. Ltd.
  • Dedicated Healthcare Services India Pvt. Ltd.
  • East West Assist Pvt. Ltd.
  • E-Meditek services Ltd
  • Family Health Plan Ltd.
  • Focus Healthcare Pvt. Ltd.
  • Genins India Ltd.
  • Good Healthplan Ltd.
  • Grand Healthcare Services India Pvt. Ltd.
  • Health India TPA Services Private Limited
  • Heritage Health Services Pvt. Ltd.
  • MD India Healthcare Services Pvt. Ltd.
  • Med Save Health Care
  • Medi Assist India Pvt. Ltd.
  • Medicare TPA Services Pvt. Ltd.
  • Paramount Health Services Pvt. Ltd.
  • Parekh Health Management Pvt. Ltd.
  • Park Mediclaim Consultants Private Ltd.
  • Raksha TPA Pvt. Ltd.
  • Rothshield Healthcare TPA Services Limited
  • Safeway Mediclaim Services
  • Sri Gokulam Health Services TPA Pvt. Ltd.
  • TTK Healthcare Services Private Limited
  • Universal Medi-Aid Services Ltd.
  • Vipul Med Corp TPA. Pvt. Ltd.

 

 

 

 

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425 Washington Blvd.,
Jersey City, New Jersey 07302, USA

Phone: +1 201.258.4704
Fax: +1 201.604.3480
E-mail: Contact@TechCusp.com

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