Our Claims360 solution provides an efficient and automated solution for claims adjudication. This system integrates all claims-related data and processes for a 360-degree view of the claims and enables real-time processing and monitoring of claims.
CredsVault offers secure storage and management of sensitive provider credentialing information, making it easier to maintain compliance and minimize risks.
Our WiseLens solution provides advanced data analytics and reporting capabilities to help payers make informed decisions and improve overall operations.
Our Auth360 solution provides a comprehensive utilization management solution that helps payers make informed decisions, improve care quality, and reduce costs.
Our Auth360 prior authorization solution streamlines the prior authorization process, reduces administrative costs, and improves overall efficiency.
CallsDesk is a call center solution designed specifically for healthcare payers. This solution streamlines the call center process and enhances customer service while improving operational efficiency.
MemberDesk is a member portal that provides members with real-time access to their information and benefits and the ability to log disputes and grievances.
Our ProviderDesk solution provides a streamlined and efficient process for managing provider information and interactions, including prior authorization requests and dispute resolution.
Our AI Audit HUB solution leverages predictive analytics and machine learning to identify potential revenue leakage, reduce rework, and improve the payment accuracy of claims.
Learn about RSTACK Solutions' Comprehensive Applications, Consulting, Infrastructure, Cloud, and BPO services
Our application services provide you with the tools and technology you need to streamline your operations...
Our cloud services offer a flexible and scalable infrastructure to support your growing business needs
Our consulting services provide expert guidance and support to help you achieve your business goals
Healthcare payers face many challenges regarding benefits administration, from configuring and testing benefits to mapping adjustment codes. RSTACK Solutions provides a comprehensive solution to address these challenges and streamline benefits administration processes.
RSTACK Solutions provides a user-friendly platform to configure and manage benefits effectively. The solution enables payers to create and manage benefits in a centralized repository, ensuring consistency and accuracy.
RSTACK Solutions allows payers to group services based on specific criteria, making it easier to manage benefits and track utilization. With the solution's robust service code grouping and qualifier management capabilities, payers can ensure that services are correctly classified and processed accurately.
RSTACK Solutions provides a testing environment for benefit products, enabling payers to validate and test their products before deployment. The testing helps payers ensure that their products meet their requirements and are ready for implementation.
RSTACK Solutions supports mapping adjustment codes (CARC/RARC), which are critical to the claims processing and reimbursement process. With accurate adjustment code mapping, payers can ensure that claims are processed efficiently and that reimbursement amounts are correct.
In conclusion, RSTACK Solutions provides a comprehensive solution to manage benefits administration and streamline processes. With its user-friendly platform, robust service code grouping and qualifier management capabilities, benefit product testing environment, and adjustment code mapping support, payers can ensure that their benefits are configured, managed, and processed efficiently and effectively.
Get in touch with RSTACK today to streamline your benefits administration and maximize savings!s
