SourcEdge

SourcEdge, An Alivia Company, was Cognizant’s First #Healthcare Certified Consulting Partner. During this 4-day event, SourcEdge and Alivia Analytics will discuss its combined products and services for commercial and government health plans. This will include a Session and Facets Case Study about masking PHI using #Deidentification for #Cybersecurity. Here are the details… SourcEdge’s specialized IT and connectivity expertise plus Cognizant’s TriZetto Healthcare Products (Facets / QNXT) modernizes outdated claims systems to improve insurance payments, productivity, value-based care, and integration with other applications. Alivia’s #AI powered Healthcare Payer Analytics Platform and tech-enabled services help health plans address growing #PaymentIntegrity challenges of #FraudWasteAbuse #FWA plaguing the healthcare system. Analytics modules also include #ClaimsEditing and #VBCmodeling. These solutions demonstrate the efficiency of modern #healthcaretechnology and digital transformation. SESSION & CASE STUDY: Facets & PHI DeIdentification For Your Non-Production Environments, Where Data is Exposed Presented by: Stephen Sideris, Data security expert and VP of Health Plan Services. Formerly SVP at Visiant Health. Brad Hutson, Cyber security expert and Chief of Cyber R&D for the Cyber Security Forum Initiative. Learn More: https://lnkd.in/eVy-3Hiz See you in Orlando! #CognizantHSC

Recent data breaches highlight the increased and constant attack that #healthcare is under. Let us share our data management solution and success stories for masking PHI, including X12 EDI, using #deidentification to ensure patient privacy and maintain regulatory compliance. Hear from our experts in a productive discovery call: Brad Hutson -- Professional “white hat” hacker and Chief of Cyber R&D for the #CyberSecurity Forum Initiative. Stephen Sideris -- Data security expert and Vice President of #HealthPlan Services. Formerly SVP at Visiant Health. Formerly SourcEdge, acquired by Alivia in February 2024. We have unique expertise in all claims systems – AMISYS, Cognizant TriZetto Facets / QNXT, HealthEdge / HealthRules, Conduent HSP, PowerMHS / PowerSTEPP.   [Learn More. Schedule Meeting.] https://lnkd.in/eyhxNp4F #PHIsecurity #healthtechnology #dataanalytics #claimsmanagement #paymentdata

We have exciting news! SourcEdge is becoming part of Alivia Analytics. The combined products and services offer commercial and government #healthcare payers complete claims lifecycle solutions. Our claims systems modernization IT capabilities have been strengthened with an #AI powered #paymentintegrity platform and case manager with robust data and analytics for #frauddetection #fraudprevention #FWA. Read the full announcement with comments from Alivia CEO Michael Taylor MD, SourcEdge CEO now Alivia President Mark McAdoo, and former HMS CEO and Alivia Board Member Bill Lucia. https://lnkd.in/ee-uqHPP Fusing these capabilities also includes the formation of a Tech-Enabled Services practice that uses the platform to provide SIU / #fraudinvestigations resources, pre-pay clinical reviews, post-pay recovery audits, and end-stage renal disease (ESRD) premium protection. #claimsmanagement #healthtechnology #paymentdata #aihealthcare #casemanagement #dataanalytics #hitrust #PHIsecurity #deidentification #valuebasedcare

We wish our many clients, partners, and friends a safe and peaceful #HappyHolidays2023 and a prosperous 2024. From Mark McAdoo, Stephen Sideris, Kevin Wisniewski, Eric Two Bears, Susan Davenport, Owen McAdoo, Jeremy Williams, and the rest of the SourcEdge team. https://sourcedge.com/ 

ClaimOptima™ by SourcEdge is quickly demonstrating how #TriZettoFacets product builds can be automated and optimized in a simple-to-use testing platform. What users are saying: -- “Transforming our testing process is quick and error-free. A true productivity booster!” -- “The accuracy and speed of the tool is unmatched. It's a vital asset for our team.” -- “Uploading benefits and testing claims is incredibly efficient. A workflow game-changer.”   Watch video. Get demo. Learn more: https://lnkd.in/ehVbSYz3   SourcEdge is a trusted Cognizant / TriZetto Healthcare Products partner with over 25 health plan customers in the US. #heathcare #claimsmanagement #healthcaretechnology

The industry's first and only platform that automates and optimizes the testing of #TriZetto Facets product builds. With ClaimOptima™ by SourcEdge, convert weeks into minutes with rapid testing using your health benefit designs and test claims - all seamlessly working together. - Improve the quality of testing results - Speed the time of testing - Reuse & centralize knowledge - Use fewer amounts of testers See how ClaimOptima works. WATCH VIDEO. SCHEDULE DEMO. Speak to Owen McAdoo https://lnkd.in/ehVbSYz3 Proud partners of Cognizant / TriZetto Healthcare Products #ClaimsSystems #HealthcareTechnology #HealthcarePlans #Healthcare

SourcEdge Enters Reseller Agreement with Qlik to Broaden Data Management Strategies for #HealthPlans. View the details of SourcEdge’s implementation capabilities of Qlik’s Data Integration and Analytics products here: https://lnkd.in/eccRFPrd Hear also from SourcEdge CEO Mark McAdoo and Qlik Partner and Alliance Leader for the Americas Alice Ohanesian as they discuss the partnership. Health plan CIOs and VPs can request a Data Modernization Consultation here https://lnkd.in/enzCcWQD to discuss the advantages of the technology partnership for addressing the data management challenges they are facing. #QlikPartner #ClaimsSystems #Healthcare #HealthCareIT #HealthcareTechnology