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Payor Services

What makes Business Process Outsourcing solution unique? Our vast experience in the Healthcare Provider Claims Billing and Management processes puts us on the cutting edge of process management—and gives you the edge over your competition.

Our Services

  • Claims entry
  • Claims adjudication which includes repricing, eligibility and coverage verification, provider verification, diagnosis and treatment reconciliation through CPT and diagnosis codes, etc.,
  • Eligibility Check
  • Membership services including benefit info, adds, changes
  • Provider updates, adds and changes
  • Provider credentialing preparatory work
  • Inbound customer care for members, providers and agents

Easy transition Client systems and processes transferred with minimal disruption or change to the existing procedures.

Compliance Our HIPAA complaint processes along with encrypted connectivity infrastructure and our experience in privacy and data security ensures compliance with all state and federal regulations.

Experience Our unique experience in providing end-to-end billing services for providers and knowledge of multiple specialties and multiple state regulations, and health plans, gives up a leg-up in adjudicating claims.

Confidentiality Sanctity of client and patient data is scrupulously maintained.

Quality and performance guarantees. We provide service level guarantees for financial and transaction accuracy.

 
 
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