DESCRIPTION OF SERVICES

FACTS Services, Inc. provides fully automated and integrated software and hardware solutions for healthcare benefit administration, specializing in claim/encounter processing, risk management and managed care administration.

FACTS full featured product line includes systems for:

• claim/encounter processing and pre-processing (medical, dental, vision, drug, disability and COBRA);
• managed care administration;
• workers' compensation with integrated managed care for 24-hour coverage;
• benefit administration with support for eligibility, billing, collections, and commissions; and
• Section 125-Flexible Benefits.

FACTS fully integrated and advanced technologies provide added functionality for: automatic, on-line claim adjudication and benefit code generation; EDI; IVR; optical imaging and IOCR; clinical editing; case management; POS; provider capitation and network management; pre-authorization, utilization review and referrals; MICR laser check and EOB encoding; electronic claim workflow management. Over 150 reports and custom report generator. Letter generation. Full-service support, training, and consulting.

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