Integrated Informatics Inc.

Our prior authorization automation solutions, AIPAS-CE and AIPAS-PE, help Providers, Payers, and PBMs.

What Prior Authorizations?

  • Medical procedures
  • Medical benefits
  • Prescriptions

What Endpoints Are Addressed?

  • Providers
    • Fully integrated with EMR
  • Payer/PBM
    • Policies to forms
    • AI/LLM/NLP
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Prior Authorization

Quicker PA

HAPPY PATIENTS

Increased Productivity

At the Provider end as well as at the Payer/PBM end

Who Benefits?

Patients, Providers, Payers/PBMs, Pharmacies, Pharma

Revenue Cycle Management

GPICS

GPICS has an API that returns whether the given insurance credentials (BIN, PCN and GroupId) correspond to government insurance or not
A pharma company is prohibited from offering copay reductions to patients with government health insurance including Medicare, Medicaid and Affordable Care. At the time a drug is dispensed to a patient with insurance, a call to GPICS helps in enforcing such COMPLIANCE by not offering any copay reduction if the patient has government insurance.
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Eligibility verification

System with an API to obtain pharmacy insurance credentials of a person (gets all insurance credentials of a person – can be used in real time in the last mile challenge in Medicaid payment processing – can be used in RTBV)
Given a patient’s credential such as Social Security Number, obtain all (primary, secondary etc.) insurances of the patient.
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Real time benefit verification

An API that returns the amount the insurance would pay and the amount what the patient would pay given the patient, prescriber, insurance credentials, drug and dosage.
Real Time Benefit Verification ensures that a patient’s pharmacy benefit credentials are current and true.
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Pharmacy Claims Processing

Bounce

Bounce is a pharmacy claims processor that receives claims from pharmacies and adjudicates the claims. Bounce uses rule based plans and processes paid claims and reversals and can handle U&C claims as well. The plan design includes specific pricing for drugs, NADAC based pricing and/or AWP based pricing.
Processes pharmacy claims for a PBM on a real time basis. The claims are adjudicated based on the policies and procedures of the PBM. Bounce is completely scalable, secure, and hosted on the cloud.
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Pharma Market Access

Bounce+

Bounce+ is a Coordination of benefits processor for OCC0, OCC3 and OCC8 claims. Bounce+ offers copay assistance to patients and market access to pharma companies. The Plan design can be based on the price of the drug and copay as well as the number of refills and the interval between refills.
Pharma companies often offer reduction in patient copay especially when new drugs are introduced. The reduction amount would normally be based on (a) whether the patient has one or more insurances or (b) if the patient has insurance, whether the insurance company would reject any payments towards the purchase of the drug stating that the drug is not in the insurance company’s formulary or (c) the amount insurance companies would pay towards the purchase of the drug. Bounce+ addresses such coordination of benefits in aiding pharmaceutical companies access the market.
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Rebates

RebateDirect

Pharmaceutical manufacturers offer rebates to health systems for dispenses made to inpatients (rebates are offered for dispenses where PBMs are not involved). These rebates are outside of GPO discounts which are offered at the time of purchase. We interface and gather data from your medication administration system, filter, accumulate the dispenses, and obtain rebates for you.
We do not charge health systems for this service. We take a small percentage of the rebate amounts received, if there are any rebates. Most of every dollar we obtain goes to health systems.
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About Us

Anna Anderson

Anna manages our Finance department and has a B.A. in English from Georgia State University.

Kapali Eswaran

Kapali is the CEO of Integrated Informatics and has over 30 years of experience in software of which 20 years are in healthcare information technology especially in laboratory and pharmacy. He was one of the inventors of SQL data language, one of the architects of DB2, the architect of pharmacy order management system and the architect of Mumps Interface for laboratory result dissemination. He has a BS degree from India, a Master’s Degree from Stanford University and a Doctorate Degree from University of California at Berkeley.

Eugene Joy

Eugene is the President of Integrated Informatics and has spent 16 years helping pharmacy and nursing clients overcome their operational and financial challenges in medication order workflow, 340B and interfaces. He has in-depth experience in a variety of hospital pharmacy settings in addition to retail, closed door and long term care environments. He has a Master’s of Information Technology degree from American Intercontinental University.

Jason Kou

Jason Kou is a veteran software architect and is the Senior Director of Products. Jason has 15 years of experience in system design, databases and web technology. His expertise include finance and healthcare verticals.

Don McLean

Don McLean is our Chief Marketing Officer. Don is an award-Winning PR & marketing Content Expert. Don has 15 plus years of experience in marketing. Don has an MBA Degree in Marketing Management from Madonna University.

Manoj Mehta

Manoj heads our technology efforts with the company, helping us with keeping our billing and auditing up to date. He has over five years of experience helping develop technology solutions for various companies, Including SterlingBackCheck, Tika Mobile, and Quality Health. He has an MSEE from City University of New York City College and an MBA from Georgia State University.

Venki Nari

Venki leads our Software Develepment Project Team in India. He has a Master’s degree in Computer Science from Temple University, Philadelphia.

Milan Patel

Milan Patel is our Lead Software Developer.

Jim Stevenson

Jim Stevenson is a consultant and our Chief Strategy Officer. He is a Retired Chief Clinical Officer at Omnicell and Professor Emeritus at University of Michigan College of Pharmacy. He has a Bachelor’s Degree in Pharmacy as well as a Pharm. D. from Wayne State University. He was the Chief Pharmacy Officer at the University of Michigan Health System.

We are hiring!

We have open positions for full time and part time .NET Developers at our office in Roswell, GA. Please contact us if you are interested in a role where you help develop new solutions for healthcare.

Full stack developer position

.NET C#, Java Script, SQL Server Developers. FULL OR PART TIME.

ON SITE REQUIRED

WE ARE ONLY EVALUATING LOCAL CANDIDATES

MUST BE EITHER C2C, GREEN CARD OR US CITIZEN

Integrated Informatics is looking for C#, JavaScript developers with knowledge of SQL on a part/full time basis. We develop software systems for the healthcare industry. The work needs to be performed on site. What you bring to the table:

  • .NET, C#
  • HTML, CSS, JavaScript
  • SQL Server
  • 3 plus years experience (both in C# and SQL)
  • Experience with healthcare software technologies (e.g. FHIR, NCPDP)

Responsibilities:

Full Stack Development. QA.

Part Time: Work days after hours and Saturdays are fine. At least 20 hours a week.

PART TIME OR FULL TIME: Flex Hours.

No Relocation available. Compensation is between $35 to $45 per hour.

What you need to do: PLEASE EMAIL RESUMES

Job Types: Contract, Full-time

Work Location: In person