Best Practice Processes

Coalition America's technology services are managed using acknowledged
best practices. Our systems and programs are specifically designed to be
highly configurable to meet a wide variety of needs, yet still do them all well.

Our routing processes for determining optimum savings for clients are
configurable at the individual provider level. Our highly complex optimization
logic determines in advance the best possible method for discounting a
provider claim and then "locks in" that method for future claims.

We are able to support different service level expectations from different
clients and monitor compliance with these service levels to detect any
tendency to change over time.

Our Data Management Services group uses very defined processes to
load and maintain PPO network data on a recurring basis. Checks and
balances are employed to detect deviations from month to month that
might be an indicator that something has gone wrong.

We exercise change management controls and do regression testing as
a standard part of each internal software release.

Our systems are managed in a secure environment, compliant with
HIPAA requirements. Our hosting provider ensures availability without
concern for power outages, HVAC interruptions, or other issues that
can disable your access to our systems. We have disaster recovery
agreements in place.

Flexible Technology

Coalition America has invested in the latest technologies appropriate for
the marketplace we serve. Our guiding focus has been to ensure that we
create an environment where we:

• are reliably there for you
• deliver excellent turnaround time in batch
• deliver excellent response time for transaction processing
• are scalable to meet your needs as you grow and as we grow

We have a highly scalable environment using virtualization technologies
with SAN hardware. Our component-based systems architecture is
designed to scale-up according to the demands of our clients.

Our proprietary software design allows for very flexible processing roles
according to each individual client's profile. Each client can specify
different turnaround time requirements or processing thresholds based
on dollar charges. Other flags and switches make it possible for us to
treat clients in very individual ways.

Proven Implementation Approach

Coalition America employs a disciplined project management approach to
the technical aspects of implementing new clients or adding services to any
existing client. Our PMI-certified experts will guide both the client and our
own internal resources through the orderly set of steps needed to assure
successful and efficient implementation.

In this model, we look first at the business processes you have in place or
desire to put in place. Your business needs and goals drive the process
and will be the measure of our success together. Then, with an understanding
of the end goal, we devise the appropriate technology solution to best suit
the requirements you have.

Having refined this process through multiple executions over time, we have
developed a Quick Start Methodology to assure that your individual
implementation is carried out quickly, with quality, and in the shortest
time possible so you benefit from Coalition America's services with minimum
fuss and delay.