Operational Transformation Claims Processing Solutions

Inefficient business processes, especially in claims processing can rob payer organizations of vital capital resources and frustrate employees, health plan members, and providers. Healthcare Infotech delivers re-engineering solutions that help payers reduce the costs of claims business processes, accelerate claims processing and increase auto adjudication rates.  This also allows plans to more effectively predict and manage administrative costs.

Our Claims Processing Solutions include:

  • Claims Processing Assessment
  • Claims Business Process Improvement
  • Claim Auditing and Payment Validation
  • Claims Backlog Reduction
  • Implementation of Claims-related technologies such as ClaimsXten

Results you can expect include higher auto adjudication rates, more accurate and timely claim payments, lower administrative cost, and improved member, employer and provider satisfaction.

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