Our platform offers versatile integration capabilities, allowing seamless connections with other applications through robust APIs, as well as traditional methods like 837 transactions.

Clients have described the platform as user-friendly and self-explanatory, making navigation effortless.

The application is built without hard-coded logic, allowing for greater flexibility and easier updates. Changes or enhancements can be implemented quickly without extensive reprogramming, making it easier to adapt to new requirements or technologies as they arise.

We provide access to Index Pricing, giving clients an easy way to view different pricing for service.

We offer Settlement Packet capability within the application.

Track bill origin, payments, and changelog activity within the platform.

Our compliance team works closely with clients during implementation to ensure any necessary adjustments to business rules and pricing are seamlessly integrated.

Supports all lines of business, including Auto, Workers’ Compensation, and General Liability, with Prime’s integrated national Auto and Workers’ Compensation PPO Network.

Access to real-time PPO discounts as well as the identification of bill scenarios that require pending to achieve maximum savings.

Features a sophisticated rules engine and a customizable client workflow module that accommodates compliance needs, tailored client rules, routing, and validation processes.

Clients have control over workflows and processes such as scrubbing, bill review, and the application of PPO discounts, as well as creating specific routing rules for dedicated queues.

Provides multiple options for Bill ID formats to ensure compatibility with client system integration.

Prevents the application of PPO pricing on designated bill lines before export.

Our system is designed so that the compliance team doesn’t have to rely on developers to code rules. The foundation of our rules engine interprets compliance rules and automatically generates the necessary code. This significantly reduces the time and effort required, allowing the compliance team to implement changes swiftly and efficiently without the delays associated with manual coding.

Compliance updates are more frequent and timely, with the ability to deploy fixes as needed without waiting for monthly releases.

Enhancements can be implemented daily, providing flexibility and responsiveness to client needs.

Clients have full control over the definition of their workflow. We can also configure those changes for them, with very fast turnaround on updates.

State-required forms can be generated and managed within the platform, helping streamline compliance workflows and documentation requirements.