Payer Solutions

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Increased Quality at Lower Price Point
With escalating cost of healthcare and demand for new and innovative products, administrative efficiencies have become imperative for healthcare payers. The focus is on creating savings to offset cost of care and create a pool of funds for future growth.

Our Claims Administration Services have a track record of doing just that with a range of services using HIPAA - compliant processes within our state-of-the art service centers. We enable you to increase your claims administration efficiency while decreasing your costs and stabilizing your claims operation.

We provide tangible results by combining our extensive domain knowledge, business rule engines, and world class operating model.

Our services include

• Over 12 years of Claims processing Experience
• Multi-plan, Multi-lines of business (HMO, PPO, MSO)
• Technology Agnostic. The team has experience of working on 8 of the popular claims processing platforms in the market
• An In-house proprietary claims processing platform that can be private labeled
• Full service including technology & claims processing software since 2002
• OCR & EDI solutions including ability to support 5010 transition

• Better and more cost-efficient handling of fluctuating transaction volumes
• Reduced claims backlogs
• Better accuracy in payments
• Reduced training expenses
• Better operational equilibrium so you can stay ahead of your competition
• Reduce go-to-market time for new products