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Robust TechnologyAt Prairie States, technology execution is an absolute core competency. Innovation and the “can do” mindset have both been hallmarks from the company’s first days, as we have continuously developed in-house new products that are first
Access to a wealth of web-based tools is quick and easy through our fully interactive website Prairie Interactive. Employers looking to view any kind of reports, members checking claims status, health care providers checking eligibility and benefits can all log into the same secure site to find anything they need to know. Any organization’s Human Resources staff benefits from time-saving utilities like online enrollment and completion of health risk assessments forms. All of this is carried out, of course, in the secure, HIPAA-compliant environment of prairieontheweb.com.
21st century communication media
Prairie States lets members share information the way they want, giving them their choice of text messaging, phone calls, e-mail or US mail.
Tech capability means accuracy, efficiency, agility, security
Systems integration is central to Prairie States’ mission: claims processors and nurses have access to the same exquisitely detailed data at the same time, assuring more effective wellness and disease management. Our pioneering efforts in perfecting electronic claims submission has earned us the highest auto-adjudication rates in the industry and unmatched precision, paying claims at an unheard of 99.86% accuracy rate. Embedded edits identify aberrant and fraudulent claims. Prairie States’ data warehouse serves a pivotal role in ensuring the integrity of the data files shared among all of the integrated software packages required to support the programs offered by Prairie States.
Data reporting without limits
In the long run, the key to fully understanding how to reduce the costs for a group is access to the right data. Employers can find any kind of data report they need, at any time of the day or night with NavigatorMD, Prairie States’ powerful data analysis tool. NavigatorMD is the most advanced in the industry, producing everything from the most basic claims data reports to the most sophisticated clinical and custom reports, instantly. What’s more, NavigatorMD offers limitless predictive modeling options, enabling our customers to make plan design changes and forecasts.