HEALTHCARE CLAIMS PROCESSING AND REPORTING

Healthcare
Description

THE CHALLENGE

  • Efficient and accurate claims processing
  • Member eligibility updates (Daily)
  • EDI & other Reporting
  • Security
  • Upgrading to ICD 10

THE STRATEGY

  • Developed a proprietary tool to automate the claims processing and reports submission
  • Implemented HIPAA specific security policies
  • Developed member accessibility mobile application

DELIVERABLES

  • Achieved 99.9% accuracy with respect to claims processing and reports submission
  • 100 % conversion accuracy in upgrading to ICD 10
  • Highly secured and HIPAA compliant environment achieved
Date

15 May 2017

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