Technology

globalcentara^SM is the knowledge center for claims processing intelligence. The core technology structure consists of a rules-based engine with user-defined flexibility, interface compatibility and web-based access designed to bridge the gap between the payor and provider.

Recognized at the 2005 TETHIE Awards for Technology of the Year and First Place for Technology for the Improvement of Claims Processing, globalcentara^SM is unrivaled in the industry as an enterprise system with built-in modules that increase the efficiency and accuracy of medical billing and claims processing.

globalcentara Provider^SM, globalcentara Payor^SM and globalcentara IPA^SM are built on the globalcentara platform with modified system add-ons for precise functionality to providers, health plans and physician networks respectively.

Rules-based engine

globalcentara's intelligent built-in rules based engine scans, validates, identifies and segregates clean and unclean claims for review before submission. Within seconds, the engine validates an immense database of claim fields with pinpoint accuracy to reduce manual intervention and increase the clean claim rate.

User-defined flexibility

The rules based engine integrates user-defined rules with globalcentara's built-in payor-provider rules to ensure that specific contract guidelines and published codes are incorporated during claim validation.

Interface compatibility

globalcentara can interface with other systems, such as an EMR or similar applications, provided the vendor has the ability to interface their product.

Web-based access

Our solutions are web-based, and all that is needed is a PC, web browser and an internet connection. Our clients are granted immediate access to real-time data, a digital dashboard, and advanced reporting for effective decision-making.