Atlas Administrators : Your Third Party Administrator (800) 232-9659
In today's administration and claim services environment, flexible, reliable and security-driven systems are vital for proper client services. Atlas is extremely proud to employ IBM's most capable hardware platform, the Advanced Series 400 (AS/400).
Given this state-of-the-art system's powerful data storage, multi-selectional and retrieval qualities, programming integrity, unlimited growth capacity and continued enhancement, Atlas assures the highest output performance; having experienced no system failures and no unauthorized down-time during the career of this advanced equipment.
Integrated Software Systems
With the ability to tailor the loading and maintenance of your Benefit Plan, plus the multi-level singular employer platform with Plan and location flexibility, Atlas offers a claims software system that is the finest in the industry. Features include special edits for cause, diagnosis, and specific benefit codes with the ability to combine any of these edits. All Atlas claims are fully adjudicated on-line.
Tracking & Monitoring Saves Money
Atlas realizes that inappropriately or inaccurately coded physician claims are a substantial waste of your company's financial resources. Recent studies indicate that a typical payor will overlook such errors on 10%-15% of all claims reviewed, most typically due to lack of technological and clinical counterparts to detect error and abuse. Atlas' custom claim system - AtlasPremiere - includesautomated code editing that allows immediate detection of inappropriate billing; pinpointing fraudulent or incorrect claims before such claims are paid. While savings are unique to each organization, the average combined definitive and potential savings can be as high as 12% when using Atlas' integrated system.
The claims edit system offers more than 26 different categories for retrieving and reviewing information. The system defines relationships between both procedure (CPT) and diagnosis (ICD) codes on all physician services, across all specialties. When integrated with Atlas' medical and anesthesia Usual, Customary and Reasonable (UCR) Pricing system, each line item is automatically reviewed. Additionally, the system incorporates "Definitive Savings" edits (based on automatic denials, for example: unbundling, inappropriate use of Modifier-26 and surgeries that do not require a surgical assistant) and three levels of evaluation criteria/intensity to review claims. Specific zip code isolation, procedure code ranges, providers and a number of other parameters may be assembled for more stringent analysis and potentially greater savings.
In addition, Atlas employs the use of ASAP, an automatic self-adjudication program. This state-of-the-art technology allows prompt claim adjudication with a high degree of accuracy.