Payer Solutions

Overview	Billing Provider Solutions	Provider Solutions	Payer Solutions	Technology Solutions	Benefits Administration
Overview \| Claims Management & Admin Solutions \| Cost Avoidance & Audit Solutions \| Customer Care Solutions

Solutions for effective claims administration, enrollment processing and customer service
The key factor in surviving the forces affecting the health insurance business is the ability to manage your operations correctly, quickly and in compliance.

The reasons for tardy and expensive claims adjudication are rule and plan complexity, multiple vendor interfaces, poor process setup and system deficiencies. A successful blend of process, vendor, systems, technology and people at the highest level is critical for business leadership. We provide end-to-end, one-stop, integrated pre and post adjudication workflow solutions that turn your data into information, while dramatically improving quality, profitability and customer service.

Our mail-room, enrollment and claims handling solutions take the pain off your business allowing you to focus on member acquisition and provider relations. We give our Clients the best fit solution built around knowledgeable people, processes and technology.

Why e4e

One stop shop for software and services
Over 15 years of operational and domain experience
Handle Medicare and Medicaid HMO and commercial plans
Very high financial and payment accuracy
Ability to interface with legacy systems, multiple vendors/systems to protect existing investment
Structured and professional transition and implementation program
Highly experienced healthcare management team

What you gain

Improve returns on processing investments	Increase customer satisfaction	Reduce inefficiencies in your back-office process	Correctly Compensate Members and Providers	Ability to Launch New Services & Faster
•Lower your fixed overheads and costs of regulatory compliance through a combination of right shoring and innovative use of our services and software suite on an ASP model	•Focus on improving your reputation and your members/providers convenience by using our qualified and experienced service-delivery team	•Higher level of pre-adjudication automation resulting in high auto-adjudication levels •Quick and Timely update of business rules and benefit packages result in accurate processing •Manage Fluctuations without having to worry about the ability of your operations team to keep up with the fluctuating volumes and scale at par with your marketing efforts.	•Our claims processing solutions are backed by stringent quality control using a combination of technology and manual processes.	•With our team ensuring a profitable operations center, our clients are able to deploy their valuable resources in increasing sales in their current markets and launch new services to meet market demands

Healthcare Services

Overview

Billing Provider Solutions

Provider Solutions

Payer Solutions

Technology Solutions

Benefits Administration


	What our Clients Say


	Information Request Name: Email ID: Message:

What our Clients Say

Information Request