Kowal Designs, 540 S Orange Ave, Sarasota, FL 34236, US

Strategic Health Care Management Systems (SHMS) is a leading provider of software and services for the healthcare payer industry in Sarasota, FL. Their integrated payer platform offers a cohesive approach to streamline core business processes such as claims, provider networks, membership, and risk adjustment, enabling payers of all sizes to maximize operational accuracy, consistency, and scalability. With a focus on proactive management of plan operations and regulatory compliance, SHMS also offers specialized products like ESI, an automated data workflow system that simplifies data exchanges between partners, and the Risk Adjustment Dashboard, which provides comprehensive insight and tools for maximizing compliance and reimbursement. Their high-performance Rapid Rules Engine is specifically designed for claims adjudication and repricing, benefiting organizations of any size. SHMS is dedicated to helping healthcare payers navigate the complex challenges of the industry with efficiency and effectiveness.Generated from the website