We also offer medical claims processing to health insurance companies.
New Accounts Application Processing
Scanned application forms with corresponding attachments are viewed via a secure VPN connection.These are then processed based on client-specified requirements.
Member Update and Maintenance
Member information are maintained in the client's software and are updated as necessary.
Medical Claims Adjudication
Medical claims are adjudicated based on the members' eligibility, plan benefits and exclusions, deductibles, co-payments and coordination of benefits, diagnosis and procedures and an array of special and client-specified instructions.BACK TO TOP