We’re putting healthcare

in context

Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform.

Solutions

to empower your organization

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Payment Integrity

Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts.

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Pricing

Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution.

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Healthcare Data

More than 100 healthcare data sets, with professional support to optimize efficiency and compliance.

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Medical Coding

Advanced medical coding software designed to expedite claim submission and minimize denials.

Insights

from our team of experts

CDT 2021 Updates Include New Codes for Coronavirus and Vaping

8.13.2020

The American Dental Association (ADA) will add 28 new CDT codes effective January 1, 2021, along with seven (7) code revisions, four (4) code deletions and 22 editorial changes. Among the new CDT code additions for 2021 are two (2) new coronavirus testing codes and a code related to counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use. 

Context 4 Healthcare Medical Director Dr. Steve Nesnidal Earns Important Health Care Anti-Fraud Accreditation

7.28.2020

Context 4 Healthcare is thrilled to announce that our Medical Director Dr. Steve Nesnidal has earned certification as an Accredited Health Care Fraud Investigator (AHFI), an important healthcare anti-fraud professional designation from the National Health Care Anti-Fraud Association (NHCAA). 

2021 Dental CDT Code Changes Include New Image Capture Only Codes

7.13.2020

The American Dental Association (ADA) will add 28 new CDT codes effective January 2021, along with seven (7) code revisions, four (4) code deletions and 22 editorial changes. The new CDT code changes for 2021 will include nine (9) new codes for image capture only. 

Success

stories from our clients

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“The extensive and up-to-date UCR database provided by Context4 Healthcare is complimented by their fast and knowledgeable customer service.”

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“Amazing customer service! Thanks so much for the quick feedback and for resolving the issue so quickly, you knew just how to help.”

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“Context4 Healthcare’s Claims Editor is a one-of-a-kind solution. The real-time edits and ability to create in-house rules have played a major part in reducing our denial rate.”

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“When asked by a potential client recently who we used for our UCR Fee data, we told them Context4 Healthcare. The potential client was very pleased and it gave us one up on the competition.”

Let's innovate together.

Find out how our cutting‑edge, industry‑leading solutions can empower your organization.



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