We can deploy solutions more swiftly than traditional legacy systems.
API Integration
Our platform offers versatile integration capabilities, allowing seamless connections with other applications through robust APIs, as well as traditional methods like 837 transactions.
Intuitive User Interface
Clients have described the platform as “user-friendly” and “self-explanatory,” making navigation effortless.
Dynamic Application Design
The application is built without hard-coded logic, allowing for greater flexibility and easier updates. This means that changes or enhancements can be implemented quickly, without the need for extensive reprogramming, making it easier to adapt to new requirements or technologies as they arise
Index Pricing
We provide access to Index Pricing and it’s an easy way for clients to get at the different pricing for service.
Custom Summary Packets
We offer Settlement Packet capability within the app.
Designed to adapt specifically to the unique requirements of each client.
Collaborative Compliance
Our compliance team works closely with clients during implementation to ensure any necessary adjustments to business rules and pricing are seamlessly integrated.
Multi-Market Coverage
Supports all lines of business, including Auto, Workers’ Compensation, Group Health, and General Liability, with Prime’s integrated national Auto, Group Health, and Workers’ Compensation PPO Network.
Continuous PPO Optimization
Access to real-time PPO discounts as well as the identification of bill scenarios that require pending to achieve maximum savings.
Flexible Rules Engine
Features a sophisticated rules engine and a customizable client workflow module that accommodates compliance needs, tailored client rules, routing, and validation processes.
Client-Driven Workflow Management
Clients have control over workflows and processes such as scrubbing, bill review, and the application of PPO discounts, as well as creating specific routing rules for dedicated queues.
Flexible Bill ID Configuration
Provides multiple options for Bill ID formats to ensure compatibility with client system integration.
Lock Pricing Feature
Prevents the application of PPO pricing on designated bill lines before export.
The compliance team ensures that fee schedules and rules are consistently updated.
Independent Rule Implementation
Our system is designed so that the compliance team doesn’t have to rely on developers to code rules. The foundation of our rules engine interprets compliance rules and automatically generates the necessary code. This significantly reduces the time and effort required, allowing the compliance team to implement changes swiftly and efficiently without the delays associated with manual coding.
Timely Enhancements
Compliance updates are more frequent and timely, with the ability to deploy fixes as needed without waiting for monthly releases.
Agile Development
Enhancements can be implemented daily, providing flexibility and responsiveness to client needs.
Client-Controlled Workflows
Client has full control over the definition of their workflow. We can do it for them; we make those changes. We get the workflow configured for them. Turnaround time on changes very fast.
Integrated State Required Form
Expectation that we will eventually have that opened up to clients, but not yet.
