Robust Infrastructure

CareCore National’s innovative technology delivers a robust infrastructure to provide seamless client support.

Our technology delivers comprehensive proprietary support to manage data, voice and application.

Data & Telephony

• Complete system redundancy with call centers in NY, SC & CO
• Fully redundant automated Data Center Operation including prior authorizations, claims, and operations
• Fully integrated proprietary core applications
• Fully integrated clinical criteria systems
• Submission portals EDI, web, telephonic and fax (client branding available)
• Designed to support diverse client requirements and standards
• All facilities, including remote agents, act as a single call center utilizing next-in-queue technology
• Online access to reporting and data mining
• Web-based Consumer Information Resource tools: providing accesss to quality imaging centers and fee schedules
• Security: HIPAA compliant and PHI protected network, systems, and applications

Clinical Management Infrastructure

• Single call center function spanning 3 physical and 1 virtual call center
• 100 percent voice, data and application redundancy across 2 geographically diverse, critical reliability data centers
• State-of-the-art VoIP call center provides for maximum flexibility
• Proprietary Case Management System is fully integrated into telephonic environment with CTI (Computer Telephony Integration)
• Unified submission experience regardless of portal (voice, web, fax)
• All systems designed to support diverse client requirements and standards
• All facilities, including remote agents, act as a single call center utilizing next-in-queue technology
• Fully vetted proprietary secure remote worker environment fully integrates with all call center and disaster recovery functions
• Security: HIPAA compliant and PHI protected network, systems, and applications