Medical Claims Adjudication Provider

The decision to automate your Medical Claims Adjudication Provider can be crucial. Putting your company’s adjudication in the right hands can help you fight fraud, increase productivity and focus on your organization’s core competencies.

But before you select a provider for Medical Claims, be sure it brings with it the following benefits:

  • A highly trained staff that exhibits superior service levels, proven processes, and best-practice techniques
  • The flexibility to customize training to fit your organization’s specific system requirements
  • Complete and comprehensive HIPAA compliance and protection
  • An operation that begins with full supervision with 100 percent auditing until your organization’s team in-training becomes proficient, earning client certification.

Data Dimensions automates the entire medical bill cycle – no matter the carrier or bill review company, including Specialty and PPO networks. Through customized, dynamic automation of business rules, our solution for claims and bill automation scrubs each bill and associated attachments, pulls the necessary metadata, and routes it to the appropriate network, payor or bill review platform.

The right Medical Claims Adjudication solution will have these features and more – plus, it will be tailored to your organization’s specific needs, built upon a detailed, agreed-upon plan to ensure your company’s success.