Central States to use Context 4 Healthcare system

Central States Health and Welfare Fund of Rosemont has selected Context 4 Healthcare Inc.’s DecisionPoint Health Payment System’s Usual, Customary & Reasonable (UCR) benchmarking databases for its business applications.

“We are pleased to earn the business of Central States Health and Welfare Fund,” said Mark Earles, president and CEO of Context 4 Healthcare. “Our health payment benchmarking solutions will serve as an important tool to aid Central States Health and Welfare Fund’s mission of providing superior benefit administration services for its participants. We look forward to serving them for years to come.”

Context’s DecisionPoint Health Payment System and UCR databases provide health care payers with a benchmarking tool to assist them in determining reimbursement and billing rates for medical procedures.

“To help assure that Fund participants receive an equitable reimbursement when out-of-network services are incurred, the Fund chose Context’s DecisionPoint (TM) UCR database to support this effort,” said Norm Littlefair, Supervisor of Central States Health and Welfare Fund’s Research and Correspondence Department. “Price, functionality, data integrity and implementation costs were all factored into our decision.”

Central States Health and Welfare Fund administers benefits for hundreds of thousands of Teamster participants, dependents and retirees. The Health and Welfare Fund is one of the largest single claims processing centers in the United States, handling over 12,000 claims each day for approximately 250,000 participants and dependents, and pays about $1 billion in benefits annually.

Context 4 Healthcare Inc. develops software solutions to solve complex medical claim coding, claim editing and reimbursement challenges. More than 3,500 physician practices, hospitals, insurance carriers, third party administrators and managed care organizations currently use Context 4 Healthcare products.