Provident Solutions Custom Healthcare Software

Custom Claims Processing & Repricing

Systems Integration

Utilization Management

Intake, Authorization, & Appeals


What We Do

Provident Solutions builds claims processing software and systems for health care organizations such as health plans, managed care organizations, and provider associations. We have been providing health care solutions and services since 2002.

We specialize in non-traditional, large management claims systems that sit between the payor and the provider. These systems perform any number of tasks from billing, pricing, and AR management and are built specifically to meet the client's needs.

 

Contact Us

Provident Solutions, LLC
229 Castlewood Dr.
Suite G
Murfreesboro, TN 37129
615.809.1192
laws@provident-solutions.com

Claims Software

We have the expertise to help your organization design software that is catered to meet your exact requirements. We believe that a custom solution will make the most of your investment and provide a product that will grow with your company and its needs.

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System Integration

Our software usually resides on local servers but we also have clients with cloud based solutions. We can work either as your Information Technology staff or with your IT staff. We also have experience deploying email, file sharing, virus protection, and backup solutions.

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Utilization Software

We create management software for organizations in charge of patient care for large sets of members, such as physician associations. This shared EMR allows providers to make notes on patients and compare their utilization numbers with their peers.

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Provident Solutions has health care experience in a variety of services and technology including:

  • Parsing, Creating, & Trading ANSI EDI Files (837, 835, 999, 277)
  • Custom Claims Pricing
  • Claims Validation & Automation
  • Payment Processing & Generation
  • Utilization Management
  • Authorization Management
  • Excel & PDF Generation
  • Paper Claims
  • Database & Application Server Setup & Maintenence