Advanced Health
401 N York St Ste 4,
Elmhurst, 60126, IL,
United States
Elmhurst, 60126, IL,
United States
1 630-941-8190
Healthcare
Advanced Health Technographics
Advanced Health Software Purchases and Digital Transformation Initiatives
Discover the latest software purchases and digital transformation initiatives being undertaken by Advanced Health and its business and technology executives. Each quarter our research team identifies on-prem and cloud applications that are being used by the 25 Advanced Health employees from the public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources.
During our research, we have identified that Advanced Health has purchased the following applications: Cognizant TriZetto QNXT for Core Admin Processing System in 2019, Milliman MedInsight for Analytics and BI in 2022, Microsoft 365 for Collaboration in 2018 and the related IT decision-makers and key stakeholders.
Our database provides customer insight and contextual information on which enterprise applications and software systems Advanced Health is running and its propensity to invest more and deepen its relationship with Cognizant , Milliman Marc , Microsoft or identify new suppliers as part of their overall Digital and IT transformation projects to stay competitive, fend off threats from disruptive forces, or comply with internal mandates to improve overall enterprise efficiency.
We have been analyzing Advanced Health revenues, which have grown to $2.5 million in 2024, plus its IT budget and roadmap, cloud software purchases, aggregating massive amounts of data points that form the basis of our forecast assumptions for Advanced Health intention to invest in emerging technologies such as AI, Machine Learning, IoT, Blockchain, Autonomous Database or in cloud-based ERP, HCM, CRM, EPM, Procurement or Treasury applications.
Advanced Health Data, Technology Stack, and Enterprise Applications
ERP Services and Operations
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Cognizant | Legacy | Cognizant TriZetto QNXT | Core Admin Processing System | ERP Services and Operations | n/a | 2019 | 2020 |
In 2019 Advanced Health implemented Cognizant TriZetto QNXT as its Core Admin Processing System to centralize payer administration and claims adjudication workflows. The deployment focused on payer core administration capabilities, positioning Cognizant TriZetto QNXT for claims ingestion, adjudication logic, remittance distribution, and member entitlement controls across the payer organization.
Cognizant TriZetto QNXT was configured to support electronic claim formats including ASCX12 837P and 837I for professional and institutional billing, and to produce standard EDI acknowledgements and remittances such as ASCX12 999, 277, and 835. Functional capabilities implemented included automated claims adjudication rules, coordination of benefits orchestration, appeals tracking, and exception handling for rejected and duplicate submissions, consistent with core claims processing and payer administration workflows.
The implementation integrated with TriZetto Payer Solutions as the clearinghouse hub for provider electronic submissions, reflecting Advanced Health policy that providers transmit via clearinghouses rather than direct EDI. Explicit integration signals in the provider manual were preserved, including the use of payer IDs DOCSO for professional claims and UOCSO for institutional claims, and routed EDI acknowledgements and remittances back through partner clearinghouses to providers.
Operational scope encompassed the Advanced Health Claims Department, provider billing channels, provider relations, and clinical review through the Appeals Committee and Chief Medical Officer for final determinations. Business functions impacted included claims processing, provider billing and resubmission workflows, coordination of benefits, and utilization management, with procedural controls documented such as timely filing windows, resubmission frequency codes, and requirements for medical records on corrected claims.
Governance and workflow changes formalized appeals and expedited review processes, requiring appeal submissions within 45 days to the Appeals Committee for recommendation to the Chief Medical Officer, and providing an expedited hearing pathway with a two working day decision target in urgent clinical scenarios. Claims rejection handling was implemented as an operational rule set, treating 277 rejections as nonappealable notifications that require correction and resubmission through the established clearinghouse flows rather than appearing on an Explanation of Payment or 835 remittance.
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Analytics and BI
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Milliman Marc | Legacy | Milliman MedInsight | Analytics and BI | Analytics and BI | n/a | 2022 | 2022 |
In 2022, Advanced Health implemented Milliman MedInsight as its Analytics and BI platform. The Oregon-based payer partnered with Milliman MedInsight to integrate claims and multiple EHR feeds to support monthly population-health reporting and hybrid quality measurement.
The deployment centered on the Milliman MedInsight product with the MedInsight VBC analytics module configured for value-based care analytics. The implementation included data ingestion and normalization pipelines to consolidate claims and EHR source feeds, measure calculation logic for hybrid quality measures, and scheduled monthly reporting pipelines for population segmentation and quality dashboards.
Integrations explicitly connected Advanced Health's claims repositories and multiple EHR feeds into the MedInsight data layer, producing consolidated datasets for care management and quality teams. Operational coverage focused on monthly population-health reporting and state-level quality submission workflows, aligning Analytics and BI outputs to value-based care business functions.
Governance and process changes established a monthly reporting cadence and submission workflows for hybrid quality measures to the state using Milliman MedInsight outputs. Milliman MedInsight helped Advanced Health qualify for 100% of available incentive funding in 2022.
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Collaboration
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Microsoft | Legacy | Microsoft 365 | Collaboration | Collaboration | n/a | 2018 | 2018 |
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Collaboration | Collaboration |
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2022 | 2022 |
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CRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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CRM | CRM |
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2018 | 2018 |
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Customer Data Platform | CRM |
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2020 | 2020 |
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Sales Automation, CRM, Sales Engagement | CRM |
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2021 | 2021 |
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Tag Management | CRM |
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2018 | 2018 |
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ITSM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Application Performance Management | ITSM |
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2023 | 2023 |
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PaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Apps Development | PaaS |
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2022 | 2022 |
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IaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Application Hosting and Computing Services | IaaS |
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2021 | 2021 |
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Application Hosting and Computing Services | IaaS |
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2020 | 2020 |
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Application Hosting and Computing Services | IaaS |
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2019 | 2019 |
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Application Hosting and Computing Services | IaaS |
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2023 | 2023 |
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Content Delivery Network | IaaS |
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2021 | 2021 |
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Content Delivery Network | IaaS |
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2022 | 2022 |
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Content Delivery Network | IaaS |
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2009 | 2009 |
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Content Delivery Network | IaaS |
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2023 | 2023 |
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CyberSecurity
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Secure Email Gateways (SEGs) | CyberSecurity |
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2018 | 2018 |
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IT Decision Makers and Key Stakeholders at Advanced Health
| First Name | Last Name | Title | Function | Department | Phone | |
|---|---|---|---|---|---|---|
| No data found | ||||||
Apps Being Evaluated by Advanced Health Executives
| Date | Company | Status | Vendor | Product | Category | Market |
|---|---|---|---|---|---|---|
| No data found | ||||||
FAQ - APPS RUN THE WORLD Advanced Health Technographics
Advanced Health is a Healthcare organization based in United States,
with around 25 employees and annual revenues of $2.5 million.
Advanced Health operates a diverse technology stack with applications such as
Cognizant TriZetto QNXT, Milliman MedInsight and Microsoft 365,
covering areas like Core Admin Processing System, Analytics and BI and Collaboration.
Advanced Health has invested in cloud applications and AI-driven platforms to optimize efficiency and growth,
collaborating with vendors such as Cognizant, Milliman Marc and Microsoft.
Advanced Health recently adopted applications including
New Relic APM in 2023, Amazon EC2 in 2023 and Amazon CloudFront in 2023,
highlighting its ongoing modernization strategy.
APPS RUN THE WORLD maintains an up-to-date database of Advanced Health’s key decision makers and IT executives,
available to Premium subscribers.
Our research team continuously updates Advanced Health’s profile with verified software purchases,
vendor relationships, and digital initiatives identified from public and proprietary sources.
Subscribe to APPS RUN THE WORLD to access the complete Advanced Health technographics profile,
including detailed breakdowns by category, vendor, and IT decision makers.