Applications QMACS by QCSI

Fast and Affordable

If you work in the healthcare insurance payment industry, perhaps those are two words you’re not used to seeing. Especially with all of the new government regulations that make a payer’s job more complicated each year. For example, HIPAA requirements have created even more compliance challenges for healthcare payers in the United States. Industry requirement standards like HIPAA have continually made the payer’s job more difficult and more costly to manage.

QCSI is focused on guiding healthcare insurance payers through the costs and complexities of the healthcare industry. QMACS, a rules-based, automated claim adjudication and payment authorization system, is a proven HIPAA-compliant system that lets you efficiently administer your business. With QMACS, you can manage all relationships between a plan, its members, and medical providers, including complex benefit plans and provider contracts, referrals, utilization management, claims adjudication and payment, call tracking, and advanced financial reporting.

What this means to you

As healthcare costs continue to escalate, the demand for cost-effective solutions that can scale up continues to intensify. QMACS and the Unisys ES7000 Model 7600R enterprise server are the best technologies available today, offering the best healthcare insurance claims processing application and the most powerful Intel-based hardware platform, with unsurpassed expertise for implementing them.

Collectively, QCSI and Unisys are helping healthcare insurance payers drive down the costs per transaction of insurance claims, and increasing the responsiveness and reliability of business-critical claims processing systems.

Contact Unisys today for more information!