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Member Management
Care Management
Emdeon CareComm
Claims Management
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Payment Management
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Emdeon Care Management services leverage Emdeon’s existing electronic connections to provide total member population health engagement and care intervention strategies. Our industry-leading electronic healthcare information network, along with our printing services that distribute healthcare communications to over 150 million patients in the United States, enables Emdeon to offer services that increase the benefits of sharing health information before and after the patient encounter.

With more than two decades of experience in electronic healthcare data interchange, Emdeon is a market leader in the exchange and standardization of health information. Whether interacting with a pharmacy, physician, hospital, patient, or insurance company, Emdeon is dedicated to improving member care by facilitating healthcare information exchange in order to improve the quality of outcomes and lower costs.

Emdeon CareComm
Emdeon CareComm is a care communication tool for improving healthcare decision-making. It enables health plans to engage their provider network through pre-care messaging that leverages a real-time eligibility connection, as well as engage their member population post-care through print messaging. CareComm helps convey important patient health history and analytics at the right point in time to improve the health of your member population. Pre-care messaging enhances care by delivering personalized information that enriches the physician-patient interaction. In addition to promoting healthy lifestyles within a health plan’s population and provider network, CareComm facilitates cost avoidance by promoting adherence to evidence-based clinical best practices and encouraging preventive care over more costly reactive care.