The Durham, N.C.-based vendor is marketing its ConVergence Point product to provider and payer organizations. The company spent $14 million developing the application.
ConVergence Point processes claims in real-time against patient histories, customized insurer policies, and 16 million edits representing code sets and terminologies. Providers can use the software to reduce their volume of denied or pended claims, according to the vendor. Payers can use the software to ease customization of edits and increase auto-adjudication rates.
The software is fully loaded with the ICD-10 code sets, according to the vendor. That will ease migration to the new diagnostic and treatment codes, and enable the temporary running of both ICD-9 and ICD-10 in parallel during the transition period.
Senior Whole Health, a health plan covering low-income senior citizens in Massachusetts and New York, is an early adopter of the software. More information is available at bloodhoundinc.com.
--Joseph Goedert
Be the first to comment on this post using the section below.