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

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 1, 2021, along with seven (7) code revisions, four (4) code deletions and 22 editorial changes. The new CDT code additions for 2021 will include nine (9) new codes for image capture only. 

Alert: New ICD-10-CM Emergency Code Added for Vaping-Related Disorder

1.20.2020

Starting in 2019, we have experienced a national outbreak in vaping related pulmonary illnesses. This outbreak has created a dilemma for coders, payers and researchers as well.

Detecting Healthcare Fraud, Waste, and Abuse

7.30.2019

Although isolated errors are consistently made in claims submission, tools which can help see beyond them and isolate patterns that are suspicious for fraud on a grand scale, or at least waste or abuse of a significant scope, can prove valuable.

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.



Proudly Affiliated with:

Proud_Members_Logo_250X100Affiliate with FedRAMP and AWSNational Association of Dental Plans Member