Healthcare Claims Processing

Empower claims administration with flexible cloud solutions.

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Challenge: Streamlining Healthcare Claims Processing Across Multiple Lines of Business

Effectively managing claims administration across diverse lines of business can be complex and costly. Ensuring operational efficiency and future scalability is essential.

Expert Assurance Solution

Solution: Dynamic and Efficient Cloud-Based Claims Processing

Our easily configurable, cloud-based healthcare claims processing and adjudication solutions for health plans offer a flexible and cost-effective approach. Achieve rapid implementations, process claims with high accuracy and auto adjudication, and meet regulatory requirements with ease.

On average, we process 98.5% of claims within 30 days, financial accuracy at 99%, and procedural accuracy at 99%.

Benefits

Increase the accuracy of your claims adjudication rates

Integrate claims edit and repricing

Manage complex benefit and reimbursement methodologies

Batch claim re-processing for specific providers, contracts and various bulk criteria

Configure logic such as check duplications and authorization matching

Improve claim queues and workflows

Eliminate paper workflow

Print Claim and Capitation checks

Complete HIPAA compliant transactions

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See The Power of HealthAxis

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