Portico Systems offers health plans software solutions exclusively focused on unlocking the value of Provider Network Management. Our hallmark Portico Provider Platform empowers health plans to infuse agility into their provider network management functions while delivering actionable provider information.The platform streamlines provider network processes while accelerating new revenue streams, enhancing employee effectiveness and optimizing provider relationships.
In June 2008, Portico announced the launch of Portico 6.0, the newest version of its platform, which includes a full suite of software solutions designed specifically to help health plans more effectively manage provider networks and relationships.
Portico 6.0 streamlines business processes through powerful workflow automation and seamless integration. This unique approach increases operating efficiencies, reduces administrative and training costs, increases provider information reliability, improves claims accuracy and provides end-to-end visibility. It also enhances the plan’s ability to collaborate with its providers and members through portal-based transparency.
Portico 6.0 combines pre-built functionality with extensive configurability to help health plans nimbly respond to market and business pressures. Key enhancements include:
- Out-of-the-box workflows enable the management of the provider relationship lifecycle including recruiting, contracting, credentialing, provider information maintenance, and provider relationship management.
- Analysis dashboards place comprehensive operational intelligence at managers’ fingertips. Graphical drilldown dashboards facilitate the identification and analysis of operational bottlenecks.
- Visual workflow design tool that uses a drag and drop approach to the configuration of workflows and user interfaces.
- Online directories allow members to search for and compare providers based upon a flexible range of criteria. Search results are displayed on geo-coded maps and are ordered using plan-specific rules.
- CAQH sanctions monitoring utilizes a pre-built interface that compares a plan’s providers with CAQH’s weekly Sanctions Track report for proactive ongoing monitoring of reported sanctions from more than 400 sources.
Website:
www.porticosys.com
Safeguard Partner Company since 2006
