Quantum Choice's User Configurability

In addition to the fast and easy creation of electronic forms, the user-configurability of Quantum Choice offers a wide range of real-world advantages. For example, here are a few of the ways that user-configurability can help healthcare organizations save time and money:

• The Quantum Choice adjudication process employs user-configurable rules, which results in fewer pending claims because rules can be written to streamline processes and save time and money. Quantum Choice also offers extensive user-configurable duplicate claim searches.



• Quantum Choice's user configurability allows for an unlimited number of detail claim lines for any given claim. Moreover, the option to change the overall claim amount to the sum of all the claim lines is user-configurable.



• Quantum Choice contains a number of user-configurable auto claim numbering formats that make it easy to assign and search by unique claim numbers that are not associated with the member's social security number.



• Quantum Choice contains a full Referral and Authorization system that includes user-configurable duplicate matching for searching and entry of new records.



• Quantum Choice includes customizable notes that allow for entering and tracking Fraud and Abuse information by provider. Notes can be tracked and filtered by user-configurable note category and subject, making it easy to search and report later.



• Quantum Choice's reporting services are highly configurable to include / exclude the data from the turnaround reports, using the user configurable Criteria definitions. This makes it easy to create custom reports and identify further cost-savings opportunities.



• Plexis EDIWorks allows the user to interface the Quantum Choice Database with claims exported from other systems. EDIWorks supports a variety of HIPAA and proprietary formats and its mapping tools allow the user to create their own custom formats. User-configurable business rules define how members and providers are located so that the imported claim are properly linked to the eligibility and the benefits.