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FamilyCare, Inc., Partners with Performance Health Technology to Process Claims 

FamilyCare Inc., a non-profit health plan serving Medicaid and Medicare members, and Salem-based Performance Health Technology (PH Tech) have joined forces to pay medical claims more quickly and accurately.

In July 2012, FamilyCare began transitioning Medicaid claims processing to PH Tech, a company that specializes in processing claims for health plans. The Medicare claims transition was successfully completed by January 2013. Since then, FamilyCare has improved the speed and accuracy of our claims processing, to better serve the providers in our network and ultimately, our members. Claims Administration Manager Amy Bruce, of PH Tech’s Northern Region, says she is pleased to partner with FamilyCare. “We wanted to make this a smooth transition for FamilyCare and as seamless as possible to their providers.”

FamilyCare network providers were granted access to PH Tech’s secure web-based tool, Clinical Integration Manager (CIM). All information regarding consultation referrals and others services are entered into CIM and allows providers to check eligibility and authorization status. Also, they have a direct communication line to claims and authorization personnel via email.

Beth Welty, program manager at Children’s Health Alliance, a provider of pediatric services for FamilyCare members, says she is pleased to see this improvement in claims processing. “Using this technology for managing claims reduces the administrative time for providers,” says Welty. “More importantly, it gives providers better access to the patients' referral and authorization information, which allows for easier and more comprehensive follow-up care.”

To Access the Clinical Integration Manager (CIM)

ACCESS CIM

If you have your log-on information you can click on the above link to access CIM.  If you are a contracted provider with FamilyCare and need CIM access, please call our Provider Navigation Services at 503-222-2880 or 1-800-458-9518.

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12/05/2012
H3818_WEB_00248 CMS Approved