Claims Adjudication

We provide highly accurate and innovative medical claims adjudication services, a simplified and efficient solution for processing,evaluation and management of medical insurance claims and reimbursement of any volume. Our experienced team will adjudicate claims at record speeds and with high accuracy. We carefully evaluate claims after they have been submitted to insurance and look for errors,duplicates and other discrepancies that result in a delay or denial of claims.

Our approach to claims adjudication includes:

1. Multilayer claim review and determining any incorrect or incomplete claims
2. Determining claim values and evaluation of healthcare service provider details
3. We use up to date and cutting-edge adjudication methods for your claims
4. We follow HIPAA regulations and offer maximum security for your claim data
5. Determination of Claims Value along with explanation of benefits
6. Reduce cost and time by eliminating fraudulent and duplicate claims
7. We periodically evaluate the healthcare service provider details and train your healthcare staff though regular workshop sessions

Our claim adjudication services include submission of duplicate claims, unnecessary service delivered, invalid diagnosis and procedure Codes, invalid pre-authorization, deadline has passed and checking patient eligibility