Expert Healthcare IT and business Resource you could rely on

Support our clients’ toughest challenges on healthcare IT consulting, software development, and backoffice professional processes

Work with Photran IT

We know. We commit. We deliver.
We have been actively working in healthcare insurance arena since the beginning of this century, helping insurance companies and TPAs for extensive business and IT needs behind the sceen. During the passed 20+ years, we learnt from our clients, we practiced in various roles, we walked through our path from novice to experts.
We are providing services from strategic consulting, product development, to backoffice professional processes like claim adjudication and auditing, plan benefit testing, enrollment and provider service. We have been helping our clients to manage many of their challenges like system migration, process automation, resource shortage, backlogs, and so on.

We run all kinds of Healthcare Insurance services with 20+ years of experience

We are currently providing services in the following ares: Administrative Services Professional Services, Technical Services
  • Adminstrative Services
    Strategic Consulting, Sysstem Migration, Process Streamline and Automation, Trading Partner Integration, Training
    Professional Services
    System Configuration, Benefit Testing, Claim Adjudication, Enrollment and Provider Maintenence, Document Hosting, Healthcare Data Mapping, Data Matching and Cleansing
    Technical Services
    System Integration, Data Conversion, Solution Development, Data Analytics, Compliance Reporting, IT Support
> Administrative Services
Strategic consulting System migrationBusiness process streamlining and automationTrading partner integrationUser training
> Professional Services
Services provided:Claim adjudication and auditingBenefit plan configuration and testingEligibility and provider maintenanceImage and data hostingHealthcare data mappingData matching and cleansing Expertise:Thorough understanding of the end-to-end healthcare insurance claim processing life cycleExtensive working experience with both Commercial and Government products (e.g., Medicare, Medicaid)Broad knowledge of specific processes:RepricingClaim editingPre-authorizationCoordination of benefitsCapitationDRG grouping and pricingRemittance advice Familiarity with various adjudication platforms in the payer industry:HealthRules PayerJavelinaHealthPacWLT MediClaimsVBALuminXEZ-CapAmisys
> Technical Services
System integrationData conversionSolution design and implementationMember/provider matching toolsVarious EDI/Non-EDI solutionsTrading partner data exchange solutionsGovernment mandate reporting and data extracts Data Analytics and Ad-hoc reporting
> Your want Services that are specific to your own business needs?
Sure! We are open for discussion! Just give us a call or send us an email!

Need expert IT or business help right away?

Feel free to get us a call!
248-946-9061

our Story

From 2001, we started to get into the US Healthcare Insurance industry, providing data conversion and EDI services for the clients. As we move along, we started to expend our business to almost the full spectrum of this industry. Now we have a team of professional in both healthcare IT and business areas, most of them have 10-20 years of experience. We have been playing various roles, supporting both insurance companies and thir-party administrators. We are familiar with all lines of buesiness, including both commercial and goverment products like Medicare or Medicaid. We have been involved in all aspects of the healthcare payer industry, claim adjudication, eligibility and provider maintenance, benefit configuration and testing, pre-authorization, repricing, coordination of benefit, payment, broker commission, encounter submission, system integration, product development, image and data hosting, data analytics and reporting, you name it. We have been supporting out clients' business growth in the passed 20+ years. We have been the their strategic consulting partner, business expert, solution provider, development team, examination group, resource pool, and even a full fledged backend office! Since 2001, we have entered the US Healthcare Insurance industry, initially providing data conversion and EDI services for our clients. Over time, we have expanded our business to encompass nearly the full spectrum of this industry.
Today, we boast a team of professionals with expertise in both healthcare IT and business, most of whom have 10-20 years of experience. We have supported both insurance companies and third-party administrators in various roles. Our team is well-versed in all lines of business, including commercial and government products like Medicare and Medicaid. We have been involved in every aspect of the healthcare payer industry, including claim adjudication, eligibility and provider maintenance, benefit configuration and testing, pre-authorization, repricing, coordination of benefits, payment, broker commission, encounter submission, system integration, product development, image and data hosting, data analytics, and reporting.
For over 20 years, we have been instrumental in supporting our clients' business growth. We have served as their strategic consulting partner, business expert, solution provider, development team, examination group, resource pool, and even a fully-fledged back office.