Medical Claims Processing
Distinguishing Features of Our Solution
We currently process HCFA, UB & ADA forms daily by scanning/imaging these documents or accepting them from our clients via ftp. Each claim is manually entered using a double key & verify process. The output data is formatted into the required EDI format and transmitted to the client for adjudication.
Contact Us- 99.5+% accuracy
- 72 hour turnaround time
- System and interface flexibility (no significant upfront capital investment required)
- A flexible process that fits our customers’ business rules
- Double key and verify
- Provider and eligibility database integration to improve auto-adjudication
- Electronic archival and storage
- Significant labor cost savings
- ANSI 837 v5010 (or earlier), NSF 5.0 Institutional (or earlier), NSF 3.01 Professional (or earlier), ASCII, or any other data format requirement
Other Related Documents:
- EOB
- Eligibility requests
- Superbill conversions
- Repricing
- Claims with attachments
- Flex Forms
- Enrollment Forms
- Claim audit function