SOURCE: Context4 Healthcare, Inc.

Context4 Healthcare, Inc.

April 27, 2011 06:00 ET

Context4 Healthcare, Inc. and EnCore Systems Professionals Announce Partnership for Usual, Customary and Reasonable Fee Schedules

Partnership to Provide EnCore's Clients With an Autonomous Source of Usual, Customary and Reasonable Fee Data

NAPERVILLE, IL and HOUSTON, TX--(Marketwire - Apr 27, 2011) - Context4 Healthcare, Inc., a leading provider of database and software solutions for reimbursement challenges in the healthcare industry, today announced a partnership with EnCore Systems Professionals, for use of Context's Usual, Customary and Reasonable (UCR) fee benchmarking database. The partnership empowers Encore to deliver accurate and highly automated healthcare transaction processing solutions.

"In recent years, the healthcare industry has experienced a number of challenges related to the reliability of UCR fee databases that are used to help establish appropriate out of network rates," notes Mark Earles, CEO of Context4 Healthcare. "We are committed to supporting Encore's focus on affordable solutions, advanced technology and industry expertise. With over one billion new data points incorporated annually, our UCR Fee Databases provide one of the most reliable solutions available to assist payors in determining fair and reasonable out of network reimbursement rates. Encores customers now have access to this reliable source of healthcare fee data," Earles added.

"After reviewing several U&C options for our SAAS clients, we overwhelmingly decided on Context4 Healthcare for their proven expertise in the industry and for the painless implementation and set-up process to moving to their tables. We have also recommended them to our licensed clients as well since we support the import process into our system," states Kathleen Buesing, President of EnCore Systems Professionals.

Usual, Customary & Reasonable fee data can be essential to both payor and provider sides of the healthcare marketplace. The information assists third-party administrators and payor organizations in ensuring that submitted provider charges are reasonable. In addition, providers can use Context's Custom Physician Fee Reports as reference material when negotiating contracts with payors or to assist in determining appropriate charges for their services.

About Context4Healthcare
Headquartered in Naperville, Ill., Context4 Healthcare, Inc. develops software solutions to solve complex medical claim coding, claim editing and reimbursement challenges. Context's software and data products enable healthcare providers and payors to reduce claim errors, denials and claim-handling costs. Privately held, Context4 Healthcare is not affiliated with any payor or provider organization. More than 3,500 physician practices, hospitals, insurance carriers, third party administrators and managed care organizations currently use Context4 Healthcare products. Learn more at www.context4healthcare.com.

About EnCore Systems Professionals
The EnCore System offers TPAs, large employers and Taft-Hartley plans comprehensive HIPAA compliant claims payment solutions that include Billing & Administration, Claims Management, Medical Management, Dental Management WEB Self-Service, EDI and auto-adjudication, along with comprehensive reporting capabilities, including a DataMart for Ad-hoc reporting. Complete professional and support services are provided to implement EnCore System software with maximum efficiency and productivity. Learn more at http://www.encoresyspros.com/index.htm.

Contact Information

  • Contact:
    David Terry
    Context4 Healthcare, Inc.
    630-321-2976
    Email Contact