Hps corporate presentation (pdf) web

www.2hps.com © Health Plan Systems, Inc. All rights reserved

meet

Efficient Administrative Software for: Third Party Administrators (TPAs)

Doctors & Practitioners

Healthcare Consumers

Insurance Companies

Unions & Self Insured Funds

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who we are

www.2hps.com © Health Plan Systems, Inc. All rights reserved2

Leader in creatinghigh qualityhealthcare software

Improves Efficiency,Flexibility andFunctionality

Removes AdministrativeWaste in HealthcareExpenditures

what we do

Provide customized software solutions for

HPS Professional

HPS ElectronicHealth Record

FindADoctor.com

Billing/RevenueManagement Services

FindADoctor.com

Complemed PHR®

(Personal Health Record)

HPS NOVUS

Employer Web Remittance

Member & Provider Online Portal

Customized Interfacing

Health & Pension Eligibilityand Claim ProcessingServices

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(formerly HPS Total Administrator)

Doctors& Practitioners

HealthcareConsumers

Unions & Self Insured Funds,Insurance Companies, TPAs


how we do it

Exceptional healthcare software solutionsbacked by passionate customer service

Customized workflowfor each client

Hands-on consultingfor optimizedworkflow

Cloud powered withredundancy

20 years in healthcareadministrative softwaredevelopment

Led by a renownedpractitioner andvisionary

Expert workforce with120 years of combineddomain experience

Market presence in morethan 10 states in the US

Impeccable track recordof not losing a singleclient to the competition

Cutting edge technologypartnerships

(see Page 16)

Field Knowledge Track Record Customer Focus


our journeyFormation of PalmLake Enterprises(HPS' parentcompany) - 1988

Presence in NY & NJwith new office inRochelle Park - 2001

Transfer ofsoftware relatedservices to HPS -2001

Approved ITVendor bySegal - 2002

HPS TotalAdministrator(HPS TA) 5.0 - 2002

Installation of HPS TA5.0 for Taft-HartleyFund - 2002

Expandingpresence toMidwest - 2005

Won bid to build anelectronic healthcaretransaction clearinghousefor large dental healthplan - 2005

HPS TA 6.0 -2006

Client additions fromKentucky, Missouri &Washington D.C.- 2006

Client additionsfrom Chicago (IL)and Connecticut- 2007

Introduction ofEmployer WebRemittance - 2008

Introduction of webbased MedicareSecondary Payer Portal- 2009

Contract withDepartment of Health,Hawaii - 2010

Introduction of HPSEHR (Certified forARRA funding) -2011

Introduction ofFindaDoctor.com inpartnership withMillenniumTechnology - 2011


business structure

Software Solutions forUnions & TPAs

Software Solutions forDoctors & Practitioners

Software Solutions forHealthcare Consumers

VERTICALS AFFILIATES

New York MedicalManagement Services

(Managing healthcare in partnershipwith payers since 1995)

Sterling Health Services, Inc.

(Complemed Personal HealthRecord -online and via Smartcard)

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Millennium TechnologySolutions LLC

(www.FindaDoctor.com- Enabling Communication between

Doctors and Patients)


HPS solutionsUnions & Self Insured Funds

Insurance Companies& Third Party Administrators (TPAs)


(formerly HPS Total Administrator)

Employer Web Remittance

Member & Provider Online Portal

Customized Interfacing

� Electronic eligibility, claim payment postingProcess medical, hospital, dental, vision, death, disability& accident claimsPre-authorization for medical servicesPension & Annuity administration system

Submit contributions online (optional ACH transaction)

Submit documents, change demographicsCheck claims, deductibles, pension & annuity status

Custom interfacing to other products, as desired bycustomers

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HPS solutionsDoctors & Practitioners


HPS Professional

HPS Electronic Health Record

FindADoctor.com

Billing & Revenue Management Services

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Cloud powered practice management softwareSimplified scheduler with FindaDoctor interfaceFull eligibility, posting & payment of claims

Certified for ARRA funding ( )

Maintains complete medical & visit history includinglab, E-prescriptions & secure faxingCloud powered & easy to use interface with HPSProfessional for seamless billing, administrative andclinical functions

Full detail listings of healthcare providersSecure communication & appointment portalOptions to advertise and post information

Front end schedulingBack end billing and collections managementStreamline receivables & revenue maximization

meaningful use- up to $40k reimbursement from federal government


solutions for hospitals


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Customized practice management andbilling for Group/Faculty practices

Billing for outpatient services

Cloud based provider credentialing system

Real-time eligibility verification of insurancecoverage of patients

Medical staff credentials promotion usingfindAdoctor.com

Web based appointment system forpatients

Communication portal for correspondencebetween patient and doctor

HPS solutionsHealthcare Consumers


healthcare consumers

FindADoctor.com

Complemed PHR®

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Search & find relevant healthcare providers

Communicate and schedule appointments with doctors

Complete Personal Health Record

Available Online (cloud powered) and on a Smartcard

Updates & Alerts for doctors and patients


our customers

NCFOL O C A L 3 2 B J


our customers�

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CONNECTICUT

HAWAII

KENTUCKY

MISSOURI

NEW JERSEY

NEW YORK

VIRGINIA

WASHINGTON D.C.

� ILLINOIS

NJ-7

VA-1

MO-1

CT-1

IL-4

KY-1

NY-2

DC-1

HI-1


partnerships

TECHNOLOGY PARTNERS

CHANNEL PARTNERS

AFFILIATIONS

Conceptual MindWorks, Inc.

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Millennium Technology Solutions, LLC


success stories

teamsters local 804“...We are happy to recommend HPS as a dependable organization withprofessional, well organized, knowledgeable and considerate employees....We are happy to have HPS as a partner in our technological needs.”

Need:

Key Components:

Comprehensive Fund Administration Software

Plan design, Pre-authorization and Claim editservicesEmployer, Employee/Participant andDependent ModuleEligibility and COBRA/Self PayClaims Processing – Medical, Institutional,Dental, Vision with pre-certificationHIPAA EDI transactionsPension ModuleAnnuity ModuleDisability ModuleOnline Member Portal

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Solution:

Benefits:

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Implemented the project in 2003and upgraded in 2011 to HPSTA Version 6.5

HPS affiliate New York MedicalManagement provides plandesign and claims edit services.

Enhanced savings and increasein reserve fundsError-free administration serviceswith increased efficiency


mercury data exchange

… Solutions which are far superior to the competition andcustomization that meets every need

Need:

Key Components:

Dental Electronic Clearinghouse forDelta Dental of Virginia

• Electronic Data Interchange (EDI)

• A Clearinghouse for ElectronicTransactions that fully complies withHIPAA

Solution:

Benefits:

In 2005, HPS implemented HPSClearinghouse (private labeled) and HPSTandem. HPS provided software andmaintenance services on the account until2009, after which HPS trained MDE staffto take over the account and maintain thesource code.

Ability to enter the market with analready built productQuick implementation gave first moveradvantage to MDE

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department of healthstate of hawaii

… an impressive performance, impeccable professionalism andstate-of-the-art technology

Need:

Key Components:

Information integration for the five separatedivisions of behavioral health department

• Software &

Customer service & ability to bill forservices

Software & administration services forutilization management

An online system for referralmanagement and submission of pre-certifications, claims, and eligibilityrequests

Information and reporting dashboardcomparing data across all divisions

Administrative services forclaims processing

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Solution:

Benefits:

In 2010, HPS implemented HPSClearinghouse, HPS Total Administratorand HPS Tandem

Increase data accuracy and rapiddata collectionIntegrate visibility into the operationsof five divisions, providing knowledgefor management decisionsImprove reporting capabilities andprovide more services throughenhanced utilization management

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a survey report

An OutstandingScore in Customer Satisfactionby Dun & Bradstreet, Inc93%

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managementA. Hassan Mohaideen - President and CEO

� Dr. Mohaideen formed Health Plan Systems (under the name Palm Lake Enterprises,Inc.) in 1988 and the first version of medical management software was released in1990.

Dr. Mohaideen has always been at the cutting-edge of managed health care and theevolving use of technology in health insurance.

He formed one of the first Independent Practice Associations (IPAs) in the New YorkMetropolitan area and served as a member of the Board of Directors of Aetna HealthPlans of New York for 11 years.

Dr. Mohaideen currently serves as a consultant to several physician groups thatcontract with insurance companies.

He previously served as a Senior Vice-President for Managed Care, of BrooklynHospital Center. He has held the position of Medical Director at several self-insuredfunds.

Dr. Mohaideen practiced Vascular Surgery for 28 years in Brooklyn, New York and isa member of the faculty of the State University of New York – Downstate MedicalCenter.

He is a Fellow of the American College of Surgeons. Dr. Mohaideen holds an MDdegree from Stanley Medical College, India and an MBA from Wagner College, NewYork, and is a Certified Physician Executive (CPE).

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managementAthiff Kabir - Vice President and Chief Information Officer

� Mr. Kabir has managed software development for the past 20 years with strongbackground managing all areas of software development lifecycle. He is a certifiedProject Management Professional, and has got his MS in Engineering.

Prior to joining HPS, Mr. Kabir worked for over a decade with EDS. He has providedstrategic and tactical planning, development, evaluation, and coordination of severalinformation and technology systems for customers in both government and privatesectors.

He has managed programs dealing with several projects involving multipleorganizations spread across the country.

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managementMariam F. Mohaideen - Vice President

Ms. Mohaideen has worked in healthcare technology for the past 15 years. Her experience includesworking for a hospital systems vendor and a management consulting firm.

In her previous position she reported to the CIO and CMIO of the largest municipal healthcare systemin the country (NY City Health and Hospitals Corporation), coordinating large scale clinicalinformation systems projects.

She is proficient in HIPAA (both on the transaction and privacy side), and evaluating healthcareprocess flow in administrative, financial, and clinical areas with respect to the implementation oftechnology.

She is an adjunct lecturer in clinical informatics at the New York University College of Nursing. Sheholds a B.A. from Cornell University, and a Masters in Science in Health Policy & Management fromthe Harvard School of Public Health.

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Satish Kurian - Vice President, Sales and Network Services

He has a Bachelors of Science and a Bachelors of Technology in Electronics & Telecommunications.He also holds Cisco and Microsoft certifications including MCSE, CCNA, and CCNP.

� Mr. Kurian has extensive experience in privacy and security and has successfully led organizationsthrough CISP security certification for compliance with the stringent credit card processingrequirements.

Mr. Kurian is knowledgeable in all facets of HIPAA privacy compliance and has background in allmanner of security issues. He has been instrumental in planning, building and managinginfrastructure.

He has industry experience in data networking and information security, with strong knowledge inrouting, switching, security, email technologies, wireless, voice, virtualization, storage, cloudcomputing & disaster recovery.

He has successfully translated various business requirements and functional specifications into solidnetwork architecture and design providing end to end solutions using cutting edge technologies.

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advisory boardWarren H. Wright

� Has been a senior executive in business development, finance and technologydevelopment and implementation services for the past 20 years

Served as COO of Resource Search Company, New York, NY, an IT staffing andconsulting services firm with major clients including UBS, BONY, Fidelity, First Data,and HealthFirst

Served as CEO of Direct Insite Corporation, a publicly traded SaaS provider ofElectronic Invoice Presentment and Payment Services (EIPP) to large global enterprises

Holds a B.A. in Economics from the University of Western Ontario

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Mohammed S. Ghouri

� 20 Years of experience in Financial Services, Health Care, Airline,Telecommunications, Media and Technology.

Sr. Global Program Manager at Verizon.

Prior to Verizon, Mr. Ghouri served as an Interline Manager at Tower Air responsiblefor crew movement involving U.S military/commercial global operations and alsoworked at Atlas Air.

Managing Principal of the Ivy Investment Management, his firm provides FinancialAdvisory and Wealth Management services to institutions and high net worth clients.

He is a member of NYU, Cornell and Ivy League Alumni and he is appointed as AsianAmerican Advisory Board member for Nassau County, NY.

Mr. Ghouri holds M.S from NYU and M.B.A from Cornell University.

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advisory boardNoor S Rajah

� Noor Rajah is the director of the actuarial program at Columbia University. Prior tothat, Noor served as a senior manager at Deloitte in New York.

With more than 15 years of experience in all aspects of pension, post-retirementmedical and employee benefits in the private and public sector

Noor also performed risk management evaluations and optimization for employeebenefits systems and has performed risk assessment for large employee benefit plans.

He also performed stochastic asset liability modeling for the largest deferredcompensation schemes on a national basis.

Noor has served as an advisor for HPS for the last 5 years.

Prior to joining Deloitte, Noor worked at Towers Perrin and Hewitt Associates in theirLos Angeles and Washington D.C. offices.

He is a fellow of the Society of Actuaries, a member of the American Academy ofActuaries, and a Chartered Financial Analyst (CFA).

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thank you

One Woodbridge Center - Suite 735Woodbridge NJ 07095(732) 582-0070

For information:For sales:

Health Plan Systems, Inc

[email protected]@2hps.com


Business

Hps corporate presentation (pdf) web