Medical Claims Processing Services
Transform your medical billing with advanced claims processing. Leverage the power of technology to streamline operations, reduce errors, and accelerate reimbursements.
Healthcare providers often struggle with the medical claims processing that involves submitting claims with documentation to the relevant insurance company. The claim details should have the cost of the services provided and verify that the services are covered under the patient's health insurance policy. Then healthcare providers receive payment for their services, once the claim is approved. To approve this claim, there should be accurate details to reimburse timely.
Are you struggling with coding errors in your insurance claims? Are claim denials slowing you down and affecting their bottom line? Our team's expertise in precise coding, speedy claim submissions, and efficient denial management results in streamlined operations, faster reimbursements, and improved financial health.
Experience the benefits of outsourcing your claims processing to us - your partner in maximizing efficiency and profitability. Reach out to us today!
Client Success Stories
Cost-Effective Insurance Eligibility Verification Services to a Telemedicine Provider
A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility verification services. Our team provided the client with cost-effective services.
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Flawless Demographic and Charge Entry Services with Strict Deadliness
A leading client was looking for a partner who could process more than 17000 claims in a month using the Kareo software. Our team provided the services within a quick time.
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Our Comprehensive Medical Claims Processing Solutions
Improve your cash flow with secure, compliant, and timely processed medical claims. Our end-to-end services include -
Insurance Eligibility Verification
We scrutinize the patient's insurance coverage to confirm eligibility for the claimed medical services to avoid unnecessary claim denials.
Claim Adjudication
Our team reviews every claim, determining the insurance company's payment responsibility. We ensure that you receive the correct payment for the services provided.
Claim Disbursement
We ensure hassle-free payment processing by managing the release of funds from the insurance company. Minimize uncharacteristic delays and optimize your financial performance with us.
Medical Claims Data Entry
Our team enters all relevant details about a patient's diagnosis, treatment, and insurance, laying a solid foundation for a successful claim submission.
Claim Document Imaging
We convert all claim-related documents into digitized images, enabling easy retrieval and efficient handling of your claims.
Claim Support & Auditing
We provide robust support throughout the claims process and conduct in-depth audits to guarantee compliance with regulations.
Medical Claims Administration Support Services
We take over the comprehensive management of all aspects of your claims process, from claim submission to follow-ups, denial management, and appeals.
Medical Claims Data Indexing Services
Our team categorizes and organizes your claim data for easy retrieval, providing you with efficient data management and quick access to necessary information.
Medical Claims Data Processing Services
We process all your claim-related data, including patient information, diagnoses, treatments, and insurance details, preparing your claims for successful submission.
Medical Claims Data Validation
We validate claim data for accuracy and completeness, helping you to minimize errors and maximize your claim acceptance rate.
Our Integrated Medical Claims Processing Process Flow
Our process enhance accuracy and completeness helping you to minimize errors and maximize your claim acceptance rate -
Claim Reporting
Documentation
Claim Evaluation & Processing
Payment or Denial
Appeals and Settlement
Claim Closure
Why Choose Us as Your Medical Claims Processing Company?
Our team consists of expert professionals with 20+ years of experience in medical claim processing. Their expertise can help streamline your claims submission, reduce stress, and increase productivity.
Healthcare Revenue Cycle Management Expertise
With our extensive industry knowledge, we optimize your claim reimbursements by skillfully navigating the complexities of revenue cycle management.
Advanced Automation Capabilities
We reduce human mistakes and claim denial rates by using AI and machine learning tools for automated data entry and coding.
End-to-End Claim Lifecycle Management
Our services simplify your operations covering the complete claim lifecycle from reporting to closure.
Proactive Denial Management
Our proactive denial management and effective follow-up techniques guarantee on-time payments and better cash flow.
HIPAA Compliance and Security
Your sensitive information is always protected by our strong data security procedures and strictly adhere to HIPAA regulations.
Insightful Analytics and Reporting
By using healthcare analytics get practical insights into your claim's procedure supporting both operational effectiveness and strategic decision-making.
Our Software Capabilities
Additional Services We Can Benefit From
Streamline your financial decision making with our expertise in payer contract management and advanced analytics.
We improve your cash flow and reduce denials by ensuring accurate billing and CPT coding. We streamline your billing process and manage regulatory changes.
Our experts focus on improving the first-pass resolution rate, identifying denial patterns, and implementing effective corrective measures for revenue enhancement.
Ensure seamless transactions and patient satisfaction with upfront patient eligibility checks. Reducing bad debt and improve the patient financial experience resulting in streamlined workflow.
Enhance diagnostic capabilities reducing patient wait times with digital sharing of medical images enabling prompt diagnosis.
We focus on reducing A/R days, negotiating skillfully with insurers and minimizing write-offs.
Boost your cash flow with our relentless follow-up on unpaid claims.
Outsource Medical Claims Processing Services to Us
Gain access to prompt and efficient medical reimbursement services by choosing us for claims processing outsourcing. Our solutions are designed to streamline your operations, reduce errors, and expedite payments. Our integrated process flow starts with documentation, adjudication, and settlement, culminating in swift claim resolution. Our services stay compliant with all regulations, avoiding potential legal issues.
Our healthcare claims processing services are powered by advanced claims management software solutions. The software we use checks for industry-standard compliance and payer-specific guidelines. From acceptance to adjudication and final settlement, the software tracks claim in real time, making it easier for us to track denial patterns and operational bottlenecks.
Let us handle the complexities of claims processing while you focus on what you do best - providing quality healthcare.
FAQs
Whom do we serve
Our Customers
Key Differentiators
AHIMA Healthcare Convention 2016
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000