JAN 15, 2008 12:13pm ET

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Hospital to Monitor Insurer Payments

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Edward Hospital in Naperville, Ill., will use contract management software from Concuity Inc., Vernon Hills, Ill.

Concuity’s ClearContracts application enables providers to analyze claims and remittance data to identify potentially underpaid claims. It also calculates expected reimbursement based on an insurer’s payment rules, or it can integrate with another vendor’s calculation engine.

The 311-bed hospital also will use the vendor’s EOB Pro software to retrieve, consolidate and standardize electronic remittances from multiple payers. More information is available at concuity.com and edward.org.

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A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.

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