Introducing PACE360

Scale Claims Operations with Expert People, AI, and Automation

PACE360 pairs Collabrios TPA specialists, with more than 600 combined years of experience, with AI and automation across every stage of the claims lifecycle. We bring the depth, capacity, and specialized knowledge PACE organizations need to protect revenue, improve financial performance, and scale efficiently.

The Challenge

Margins are tight. Every gap in the revenue cycle costs you.

PACE organizations are being asked to do more with less, and claims operations feel the pressure first.

Rising Operating Costs

Administrative costs keep climbing while margins stay under strain.

Revenue Leakage

Gaps in claims processing, coding, and risk adjustment quietly erode revenue you have already earned.

Specialized Talent Gaps

Experienced revenue cycle professionals are hard to find and costly to retain.

What PACE360 is

An outsourced revenue cycle team with deep claims expertise

PACE360 gives your organization an experienced revenue cycle management team without the cost and risk of building one in-house. We help you scale claims administration through staff augmentation, AI-powered call center assistance, reporting, and more, so your team can focus on participants instead of paperwork.

How It Works

One connected workflow, from intake to analytics

Every claim moves through seven stages, combining automation, trusted integration partners, and expert oversight, with full visibility in the Client Portal.

What We Handle

Everything between the bill and the CMS submission

Claims Operations	Reporting	Regulatory Submission
The day-to-day work of getting claims in, priced and paid.	The numbers finance, compliance and leadership need.	On-time, accurate filings to CMS, the state and the IRS.
Enrollment and disenrollment support, DTRR/820 monitoring, and EDV audit response Digital mailroom, clearinghouse, automated OCR intake, and document sorting Claims adjudication with automated validation, custom pricing, PACE rules, and streamlined workflows Accounting, funding, check registers, 1099s, account management, and provider services Staff augmentation and AI-powered call center support	Compliance reporting, including precision lists and encounter/RAPS return files Claims detail, reinsurance, IBNR, general ledger and monthly AR reporting PDAC reporting for enrollment, RAPS and encounters Self-service standardized reports and 24/7 Client Portal access, with custom reporting available on request	Automated CMS (EDS) and state encounter submissions, with operational review of pends and rejects, corrections, and response-file reconciliation 1099 record preparation, issuance and IRS filing PDAC uploads, including MMR, HCC, Part D HCC and MAO-004 files

Outcomes

What PACE360 delivers

Lower operating costs

Outsource specialized RCM expertise instead of recruiting, training, and retaining it in-house.

Improved payment accuracy

Risk-adjustment and coding professionals who protect your revenue.

Faster operational performance

Staff augmentation and AI-powered call center support keep claims moving and inquiries answered.

Why Collabrios

What Sets Collabrios Apart

PACE expertise

600+ combined years of TPA experience and deep knowledge of PACE regulations, payment models, pricing, enrollment, encounters, risk adjustment, RAPS and PDAC workflows.

Efficiency by design

Lean Six Sigma principles, AI, and automation support repeatable, scalable workflows that reduce duplication, risk, turnaround time and rework.

Integrated, high-touch model

One platform for clinical and claims data, paired with dedicated account management, provider services, 24/7 Client Portal access and quarterly business reviews.