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FACTS (R) Services Incorporated (FSI), based in Coral Cables, Florida, designs and implements automated claims management systems for health care payer organizations. The firm's products support TPA, HMO, MSO, group administration, COBRA, workers' compensation, and other business lines. FSI develops claims and encounter processing, managed care administration, and workers' compensation management systems. Policy and benefits products provide eligibility, billing, collections, and commissions tools. FSI's Internet- and voice-based programs comply with Health Insurance Portability and Accountability Act (HIPAA) data privacy regulations. The systems provide health care administrators with real-time, Web- based transaction features. The firm develops optical imaging, automated claim adjudication, MICR laser check, EOB encoding, report and letter generation, clinical editing and auditing, case management, primary care physician profiling, and other systems.
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