PHX, www.phx-online.com

PHX Acquires Crossfire Technologies to Expand PPO Management Services

PHX today announced that it has acquired all of the assets of Crossfire Technologies, Inc., a leading provider of automated medical claim re-pricing software. Crossfire’s Technologies product line includes automated EDI and Web-based claims re-pricing, provider profile data warehousing and fee schedule management. PHX is expanding the number of existing PPO Networks relationships and intends to include access to over 100 regional and national PPO networks across the country.

With the addition of Crossfire’s ClaimFlextm processing platform, PHX will be able to slash the time and costs typically associated with processing claims directly with each network, providing its payer customers and new customer opportunities with immediate access to the best rates and the deepest discounts available in the industry.

“PPO management is incredibly complex and time consuming for administrators in today’s challenging healthcare environment,” said Scott Arlotta, Vice President of Business Development for PHX. “PHX works seamlessly with a range of claim adjudication systems and supports real time re-pricing, enabling payers to easily submit claims in multiple formats with a single submission and instantly access to over 100 PPO networks with superior discounts”.

In combination with this acquisition, PHX will be launching a newly developed program named the PHX Provider Access Card. The card will reduce a payers out-of-network exposure for members who are outside the primary PPO service area. Members in remote offices, employees who travel and students not living at home can feel safe and secure knowing they have access to a quality provider panel. The payer and employer benefit by knowing they have access to solid PPO discounts.

Additionally, Crossfire will continue to offer one of the best, most cost effective platforms for PPO Networks to use as their back-office solution for repricing and data management. Our PPO clients use and deploy the Crossfire ClaimExectm and ClaimFlextm platform maintain control of their proprietary data and provide EDI and Web Repricing for their clients.

About Crossfire

Crossfire Technologies delivers PPO Network management and repricing on a flexible platform designed for BPO services and solutions. Crossfire’s unique Pro-Match provider matching product has the flexibility and robustness to accurately match the provider on the claim to the provider in the PPO database. Visit www.cxft.com for more information.

About PHX

PHX delivers advanced cost management solutions for health plans. The company combines claim processing automation with professional services to deliver a centralized approach to cost management, increasing savings in both the near and long term while dramatically reducing errors and turnaround time. PHX services include data analytics, benchmarking, predictive modeling, PPO network management, out-of-network negotiations, claims editing, and clinical bill review and audit. The firm’s solutions are used by the industry’s leading insurance companies, Taft-Hartley Funds, Health Maintenance Organizations (HMOs), and Third Party Administrators (TPAs). Visit www.phx-online.com for more information.

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This entry was posted by Adam V. Russo on Wednesday, September 1st, 2010 at 4:07 pm and is filed under News. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.