Choose a medical claims processor with experience in the field

Choose a medical claims processor with experience in the field

When choosing a company to handle your medical claims processing needs, there are many elements to consider. For example, does that company have experience in the field?

To deal with the complexity and sheet volume of medical claims processing, a company should be well versed in the procedure, having processed millions of health insurance claims, medical records, insurance applications and enrollment forms each year. Their methods should rely on leading-edge technology and the experience of their staff, resulting in high-quality images and data, delivered electronically in a standard format that can be used in any back-end system.

What’s more, the company should have extensive experience in processing many types of claim-related forms, including (but not limited to):

  • CMS-1500
  • UB92
  • Pharmacy
  • ADA forms
  • Dental X-rays
  • Provider-defined “Superbills”
  • Network claim forms
  • Pricing sheets
  • Prescription receipts
  • Explanation of benefit statements

Also, the services and solutions involving medical claims processing should help your company significantly increase auto-adjudication rates, reduce administrative costs and accelerate reimbursement turnaround. By choosing a company that offers all these services for medical claims processing, your company will see reduced transaction costs, increased profits through expedited claims processing, fewer resources devoted to overhead functions that have little impact on the outcome of claims, increased security, more convenient access and a greater degress of HIPAA compliance and protection.

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