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