Services - Health Care

C X-Stream offers a healthcare solutions package that will improve operating efficiency, reduce administrative costs, grow your business, and provide HIPPA Compliance. Our clients realize a true ROI almost immediately after implementation.

If you are looking for a claims processing system that can actually automate the billing of health care claims, from receipt to payment, without manual intervention, you have come to the right place. Our system is the most complete auto-adjudication system you can find. Our clients are achieving unprecedented auto-adjudication rates ranging from 80 to 90+%.

Auto Adjudication

Auto adjudication will correctly, completely, and flexibly apply relevant claim review rules and perform additional claim processing functions. C X-Stream's claim administration automation is rapidly deployed to assist in automating adjudication that normally provides difficult to adjudicate. Our system supports business rules and logic that involves complex reasoning related to any claim, member or provider attribute, and uses large amounts of historical claims data in real time.

Batch Claim and Processing

C X-Stream's supports several non-standard and standard batch interfaces including both HIPPA 837 and WebMD interfaces.

Flexible Reporting

Our system is built on an SQL environment. In addition to being able to report on all the activities in the production system, all types of reports are available through the use of common reporting tools such as Crystal Reports®, Microsoft Access®, Microsoft Word®, and Microsoft Excel®. In addition, we provide a total Data Warehouse and Analytical Reporting solution for analytical reporting. The delivery of this capability our claim systems and processing infrastructure already in place is accomplished with relatively little effort on the payor's part. Customers can choose from many pre-canned reports or customize reports to meet their users needs.

Utilization Management

With UM, administrators can enter authorization directly, locally or over the web. Claims and workflow can be routed to the UM on a case basis. From planning to design, implementation, support and management, C X-Stream is uniquely poised to meet your business needs today and into the future. Combined with best-of-breed business communications products, state-of-the-art network management facilities, expert professionals and an unrelenting commitment to customer service, C X-Stream solutions enable effective business communications.

We provide support for a broad range of health care business processes, from efficient auto adjudication, and utilization management and reporting tools. With C X-Streams component based suite, you can implement only what you need, when you need it. You can be secure in knowing that as your business requirements change, you can add more components to meet your needs – step-by step.

For more information about our products and services, please fill out our contact form or call us at 1-310-453-4524.

"The most beautiful experience we can have is the mysterious."

- A. Einstein