If your organization is struggling with the complexities of Medical Claims Processing, the solution is to outsource those needs to a reliable provider with both the experience required and the ability to tailor its solutions to your company’s specific needs.

When choosing to automate your Medical Claims Processing needs, be sure that the provider you select has extensive experience with the many claims-related forms, including CMS-1500, UB92, Pharmacy, ADA forms, Dental X-rays, Provider-defined “Superbills” as well as various network claims forms, pricing sheets, prescription receipts and explanation of benefits (EOB) statements.

Utilizing a reliable provider of Medical Claims Processing can have many benefits for your organization, including:

  • Increased auto-adjudication rates
  • Reduced administrative costs
  • Accelerated reimbursement turnaround

The right provider will incorporate your eligibility and provider databases into its capture and validation processes, as well as edits specific to your claims system. Such a customized system will meet your company’s specific challenges and unique needs, allowing you to increase efficiency, streamline your process and reduce administrative costs.

Easily transform data from structured or unstructured forms into a formatted data file that can easily be ingested into back-end systems for downstream workflow processing.