Parathon Timeline

Our founders executed the first successful real-time electronic Eligibility and Claim Status inquiries while also becoming one of the first electronic Claims Clearing Houses principally serving the physician market.

We introduced CommuniCap as the premier capitation administration software system. CommuniCap allowed provider groups, such as IPAs and MSOs, to administer their own private networks of capitated patient populations under the HMO delivery model that was predominant until about 2000.

By adapting comprehensive claims adjudication functionality from CommuniCap, Parathon introduced powerful daily payment compliance software allowing hospitals to verify that Third Party Payer (TPP) claim reimbursement was compliant with hospitals’ TPP contracts. We refer to this as the First Pillar of Parathon Contract Management.

Parathon’s Parallel Database integrates all financial and patient accounting data from legacy EMRs into our proprietary PDB®. We created the first and only system that consolidates all revenue cycle EMRs and bolt-on silos into a true single-enterprise solution.

Parathon introduced contract modeling allowing hospitals to accurately determine if new and updated TPP contract proposals will reimburse what the TPP represents. We refer to this as the Second Pillar of Parathon Contract Management.

The first and most complex tool for micro-analyzing a CDM to maximize TPP reimbursement using billions of price combinations and permutations. We refer to this as the Third Pillar of Parathon Contract Management.

We developed a comprehensive workflow manager into Parathon’s Three Pillars of Contract Management; we added a robust reporting tool and integrated it all into Parathon’s PDB® to create a simple but powerful RCM platform.

In response to client requests for outsource assistance collecting balances related to complex claims, denials, and underpays, we added an expert staff of collectors to provide follow-up services.