Trilogy's innovative approach to Medicare-based reimbursement allows your organization to maximize savings while retaining control over how the program operates through a fully customizable rule set.

 

Configuration options include claim handling by:

 

Provider Type

• Primary Care Physician / Specialist

• Hospital / Specialty Hospital

• Ambulatory Surgical Centers

• Ancillary Providers

 

Provider Specialty

• Based upon Taxonomy code

 

Service

• Inpatient Hospital

• Outpatient Hospital

• Specific DRG

• Specific Principal, Admitting, Procedure Diagnostic (ICD-10) Code(s)

• Evaluation & Management Codes

• Radiology Codes

• Pathology Codes

• Surgery Codes

 

Geographical location of either the insured or the provider

 

All options are configurable down to the group/employer level.