LISLE, Ill.--(BUSINESS WIRE)--Aldera™, a leading provider of core administration and private portal solutions for healthcare payers, today announced that it will integrate BASELoad Sure Hit Lite™ with its core administration platform and pioneer a new claims adjudication standard. The integration will give payers the ability to match and cleanse provider data during the auto-adjudication process. Aldera will also integrate BASELoad’s provider-data cleansing services into its rapidly deployed, seven-step implementation process. Combined, these solutions optimize and enhance provider data to improve a healthcare payer’s ability to pay claims automatically.
“Today, when incoming provider data does not match the data in a claims system, a claim is ‘pended’ rather than auto-adjudicated, and typically requires manual intervention to process,” said Dan Knies, chief technology officer at Aldera. “By integrating the BASELoad provider-data cleansing services into Aldera’s claims-adjudication process, payers will have a fully automated solution that cleanses, normalizes, de-duplicates, loads and matches provider data, all in a hands-free, electronic transaction.”
BASELoad integrates hundreds of data sources into a single medical service provider database, and then uses proprietary technology to cleanse and normalize that data automatically. Cleansing data involves running more than 350 processes, including searching and replacing keywords, changing punctuation and bad-characters, and verifying addresses. The BASELoad partnership expands and strengthens Aldera’s payer platform capabilities by adding several forms of provider-data cleansing, including Sure Hit Lite, initial provider-data cleanup and fulfillment, W-9 corrections, 1099 services, and PPO network loads, monthly maintenance and fee-schedule maintenance.
“A payment system is only as good as the data it receives,” said Gerard Szatkowski, BASELoad president and CEO. “By integrating BASELoad with Aldera’s flexible architecture, payers can almost eliminate the traditional ‘pend and send’ mentality that adds risk and delays payments on non-matching provider data, something that accounts for nearly 40 percent of claims across the industry.”
Aldera provides healthcare payers with a flexible, rules-based, and functionally rich platform that enables them to meet industry challenges, improve business performance and future-proof their organizations. Aldera’s platform supports more than 36 million members across all lines of business in commercial and government markets. For more information, please visit our website at www.aldera.com, LinkedIn @ linkedin.com/company/aldera_inc, Twitter @ twitter.com/aldera_inc, or call 800-507-3895. Aldera is a trademark of Aldera Holdings, Inc.
Founded in 1999, BASELoad provides customized technology solutions and services to payers designed to improve the integrity and reliability of healthcare data, without placing additional strain on infrastructure. BASELoad is the only company in the industry that can give a 99% guarantee that claims will find the correct provider at the correct address on a healthcare system without human intervention. For more information, please visit www.BASELoad.com/ or call 704-424-9889. Baseload and Sure Hit Lite are trademarks of Bases Loaded, Inc.