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Technical Monitoring and Data Analytic Services 

For Public Health Systems

We Deliver Clarity 

 Softech brings the data into focus that enables all stakeholders to make the best decisions in their mission of enhancing public health.

Quality Assurance, Every Step of the Way

Our services support all phases of managing a public health system: policy development, technical specifications, implementations, and monitoring.

Technical Monitoring Services

  • Third Party Auditing of Claims Adjudication

  • Verification of Clinical and Eligibility Rules

  • System Validation

  • Fraud, Waste, and Abuse

Enterprise Health Plan Reporting

  • Utilization and Outcomes

  • Financial Reporting

  • Regulatory and Compliance Reporting

  • Provider Profiling

  • HEDIS and Quality Measures Reporting

Business Intelligence & Data Analytics

  • Impact Analysis of Service and Fee Schedule Enhancements 

  • Predictive Modeling

  • BI Dashboard Suites

  • Data Modeling

Technical Specifications

  • Documentation of Clinical and Eligibility Rules

  • Technical Requirements Documentation

  • Provider Manual Specifications

  • Data Governance

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