MphasiS Healthcare Solutions Adds Claims Auditing to Its BPO Services

Business Wire, April 1, 2008

Leading BPO Provider Also Increased Number of Data Entry Transactions by 82% in 2007

PHOENIX -- MphasiS Healthcare Solutions (MHS), a provider of health benefit management and business process outsourcing (BPO) services, announced the expansion of its business processing outsourcing (BPO) services to include claims auditing, which is a review of processed claims to determine accuracy of data capture, procedure and payment. The comprehensive audit covers all claims that are outlined within the Claims for Audit Report supplied to MHS by client and will identify:

* "Data Capture Error": errors that occur during the initial data capture of claims data.

* "Procedural Errors": errors that occur from failure to perform internal business guidelines and processes.

* "Payment Error": errors that result in either an underpayment or overpayment of the claim.

Tom Castleberry, vice chairman of MHS, explains, "Third party administrators and healthcare payers of all sizes are seeking new methods to increase efficiencies and profitability. Our clients asked for claims auditing BPO services and we responded."

Further fueling growth in 2007, MHS grew its BPO services with the addition of three new plan building clients and documents nearly doubling data entry transactions.

Third party administrators and healthcare payers can select from MphasiS's a la carte menu of end-to-end BPO administrative services, which include enrollment, billing and collections, claims entry and adjudication, eligibility, provider maintenance and service, management of customer service, stop-loss reporting, pre-certification, large-case management and COBRA administration.

MphasiS also offers custom BPO consulting services to help health plans with key fundamentals, such as business process analysis and mapping. The services address a health plan's operational transformation to help contain cost pressures and the threat of market consolidation with professional, objective examination of operational details and processes.

About MphasiS Healthcare Solutions

Based in Phoenix, Ariz., MphasiS Healthcare Solutions* (Eldorado Computing, Inc.), specializes in health insurance application development, business process outsourcing (BPO) services, IT engineering and operational consulting. The company serves the full spectrum of organizations nationally and internationally engaged in managing health benefit plans including third party administrators (TPAs), health plans, employers and self-insured organizations. Together, MphasiS Healthcare Solutions customers manage 5 million lives and handle 35 million claims annually. For more information, contact 602.604.3100 or visit www.eldocomp.com and www.mphasis.com.

*The legal entity remains unchanged as Eldorado Computing Inc.