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What We Do
Castlestone creates applications to address the needs of the health care industry and other industry markets, primarily using technologies developed for the financial services industry. These industries are moving closer together, as health care reform, changes in payment responsibility, insurance reimbursement and product marketing dictate that financial and clinical information and transaction processing take place in real time.
We create applications for the health care community that take advantage of the speed, performance and scale of the financial networks to deliver real-time information from wherever it originates (the millions of available swipe terminals) to wherever it is needed- to verify health plan eligibility, process claims, track customer purchase behavior, account for prescription activity, and control costs of outpatient services. We are able to implement these applications quickly and effectively, over any size or customer range, with the costs commensurate with the scope of the customer’s operation.
What We Do
Castlestone creates applications to address the needs of the health care industry and other industry markets, primarily using technologies developed for the financial services industry. These industries are moving closer together, as health care reform, changes in payment responsibility, insurance reimbursement and product marketing dictate that financial and clinical information and transaction processing take place in real time.
We create applications for the health care community that take advantage of the speed, performance and scale of the financial networks to deliver real-time information from wherever it originates (the millions of available swipe terminals) to wherever it is needed- to verify health plan eligibility, process claims, track customer purchase behavior, account for prescription activity, and control costs of outpatient services. We are able to implement these applications quickly and effectively, over any size or customer range, with the costs commensurate with the scope of the customer’s operation.
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Castlestone signs agreement with Blue Cross Blue Shield Association
September 7, 2012
Castlestone Advisors announced today that it has signed an agreement with the Blue Cross Blue Shield Association to provide all Blue Cross Blue Shield plans nationwide access to its innovative fraud prevention and real time information tools.
The agreement will offer Castlestone’s service part of the Blues’ PlanConnexion® network of software and services that help Blues plans operate their health insurance businesses. Castlestone’s service helps prevent fraud and abuse and delivers other benefits to government-sponsors and commercial plans alike, all from a common platform with proven performance.
“We’re excited about this recognition from the Blue Cross Blue Shield Association” said Jeff Leston, President and founder of Castlestone. “It validates what we have said for a long time, that standards-based, real time systems, such as we have created with the financial networks, will deliver value in fraud prevention, clinical information delivery, and wellness programs.”
The Castlestone service allows health plans to use the financial (credit and debit) card networks to carry healthcare transactions, with the same speed, reliability and points of presence available to banks and card issuers today.
Castlestone signs agreement with Blue Cross Blue Shield Association
September 7, 2012
Castlestone Advisors announced today that it has signed an agreement with the Blue Cross Blue Shield Association to provide all Blue Cross Blue Shield plans nationwide access to its innovative fraud prevention and real time information tools.
The agreement will offer Castlestone’s service part of the Blues’ PlanConnexion® network of software and services that help Blues plans operate their health insurance businesses. Castlestone’s service helps prevent fraud and abuse and delivers other benefits to government-sponsors and commercial plans alike, all from a common platform with proven performance.
“We’re excited about this recognition from the Blue Cross Blue Shield Association” said Jeff Leston, President and founder of Castlestone. “It validates what we have said for a long time, that standards-based, real time systems, such as we have created with the financial networks, will deliver value in fraud prevention, clinical information delivery, and wellness programs.”
The Castlestone service allows health plans to use the financial (credit and debit) card networks to carry healthcare transactions, with the same speed, reliability and points of presence available to banks and card issuers today.
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2/27/13
At the 1:01:28 mark, Congressman John Shimkus of Illinois congressional discusses Castlestone’s groundbreaking project for Medicare, and holds up Castlestone’s stop-healthcare-fraud.org. card while asking Deputy Administrator Budetti about CMS’ plans for fraud prevention.
2/27/13
At the 1:01:28 mark, Congressman John Shimkus of Illinois congressional discusses Castlestone’s groundbreaking project for Medicare, and holds up Castlestone’s stop-healthcare-fraud.org. card while asking Deputy Administrator Budetti about CMS’ plans for fraud prevention.
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June 18, 2013
Ohio State Auditor sees swipe card technology as part of the anti fraud solution
The Ohio State Auditor released a report on June 13, 2013 recommending that swipe card technology, such as Castlestone’s, be implemented and tested in the fight against fraud and abuse in the State’s Medicaid program.
The full report, which can be found at http://www.ohioauditor.gov/auditsearch/detail.aspx?ReportID=102314
Looks at some of the problems and solutions which the Auditor’s office studied since the fall of 2012. The use of card swipe technology, and the ability to implement such a service over existing infrastructures and networks, played a large role in the Auditor’s recommendations.
In the report, details of the evaluation and basis for recommendation can be found on Page 95. For additional information on Castlestone’s approach and solution and how it fits the requirements discussed by the Ohio Auditor, contact us.
June 18, 2013
Ohio State Auditor sees swipe card technology as part of the anti fraud solution
The Ohio State Auditor released a report on June 13, 2013 recommending that swipe card technology, such as Castlestone’s, be implemented and tested in the fight against fraud and abuse in the State’s Medicaid program.
The full report, which can be found at http://www.ohioauditor.gov/auditsearch/detail.aspx?ReportID=102314
Looks at some of the problems and solutions which the Auditor’s office studied since the fall of 2012. The use of card swipe technology, and the ability to implement such a service over existing infrastructures and networks, played a large role in the Auditor’s recommendations.
In the report, details of the evaluation and basis for recommendation can be found on Page 95. For additional information on Castlestone’s approach and solution and how it fits the requirements discussed by the Ohio Auditor, contact us.
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