* Modified its legacy claims system to implement EDI so that its bill review vendor could be paid electronically each month.* Created a nightly EDI claims feed to its bill review vendor.

* Modified back-end systems to receive a nightly EDI feed from its bill review vendor in order to auto-pay medical service providers.

* Built a medical bill queue in its electronic claim file to give its bill review vendor immediate access to images of bill documents.

* Designed and implemented an optical character recognition workflow system for its explanation of reviews so they could be drop-filed into the electronic claim file.

* Created a nightly EDI feed to its pharmaceutical and durable medical equipment vendors.

* Modified back-end systems to receive nightly nurse case manager notes from its utilization review and telephonic case management vendors.

* Modified the claims system to automate transactions on funded policies.

* Created a Web-accessible database of nurse case managers.

* Created a Web-accessible database of attorney case managers.

* Created an around-the-clock claims reporting service with an outside vendor.

* Implemented an EDI feed to its claims reporting vendor.

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