Outsource Insurance Claims Processing Services

Better Insurance Claims Processing, Faster Results

Providing the Optimal Way for Processing Insurance Claims

MedBillingExperts effectively integrates technology, experienced personnel and flexibility to provide end-to-end medical insurance claims processing services.

We understand that for every claim that is not closed in-time, the administrative costs incurred by you will go up. For that reason, we strive to reduce the open-to-close ratio that can cost you big bucks. From our team of experienced domain experts to our established processes to our global delivery centers to our modern claims management system, everything we do is focused on communicating clearly and working efficiently so that we get it right the first time, every time.

Our Services include:

  • Immediate response & insured contact within 24 hours
  • Prompt inspection within 72 hours of initial contact
  • First report available within 7-10 days
  • Post-inspection reserve updates
  • Adherence to contracted fee schedules
  • Paperless reporting option along with web-based access
  • RUSH support available

We Provide a Range of Insurance Claims Processing Services

Being an expert insurance claims processing company, we provide a range of insurance claims processing services, which includes:

  • Insurance claim setup
  • Insurance claim eligibility and estimation
  • Claim document imaging
  • Disbursement
  • Full claim adjudication
  • Fast tract adjudication
  • Claim support and auditing
  • Account settlement
  • Modernization of legacy applications

Insurance Claims Types that We Handle

  • HCFA Processing - HCFA1500
  • UB92/Uniform Billing/HCFA1450
  • Dental
  • Miscellaneous (Complex/Non standard)
  • Vision

We Follow a Tried and Tested Insurance Claims Processing Process

Insurance Claims Processing Process

Here is a detailed break of the insurance claims processing process that we follow to deliver superior results:

Step 1: New Claim
  • Claim center receive new claim
  • Quality verification and registration of info
  • Confirm to insured
Step 2: Assign
  • Assign to adjuster
  • Confirmation request
  • Adjuster confirm assignment
Step 3: Inspection
  • Plan inspection
  • Contact insured
  • Perform and report inspection
Step 4: Estimate
  • Prepare estimate
  • Enter time and material
  • Estimation
  • Approve estimate
Step 5: Settlement
  • Contact insured
  • Negotiate
  • Make settlement
  • Make payment
Step 6: Close claim
  • Complete claim info
  • Claim analysis
  • Evaluate
  • Report claim
  • Close claim

Here’s How Companies Have Benefitted by Outsourcing Insurance Claims Processing Services to Us:

  • We helped a leading insurance company increase customer retention and acquisition
  • We transformed key processes for a health insurer to boost customer satisfaction
  • We freed up managers of an insurance company to focus on claims operations performance improvements

Why Outsource Insurance Claims Processing Services to ExpertCallers?

Here are some of the benefits that you’ll gain when you outsource healthcare back-office support services to us:

Uncompromising Quality

Our clients don’t compromise on quality and so do we. Banking on systems enhancements to streamline workflow, centralization to reduce touchpoints and data analytics to take informed decisions, we have created a billing system that churns out cent percent accurate results day-in and day-out.

Billing and Reconciling of Accounts

Our billing and reconciliation services helps you to submit accurate claims and receive detailed reconciliation reports of billing data and payments from various payers. These reports provide a detailed break of the payments received, denied charges and outstanding bills.

Best in the Class Open-To-Close Claim Ratio

We believe that one of the easiest ways to improve open-to-close claim ratio is by reducing claims submission errors. And we strive to put this belief to practice by adopted of best-of-the-breed techniques and technologies – fraud control technology, understanding of deep internal codes, automated systems for chosen areas – which are particularly intended to keep this impediment at bay.

Control Over Changing Market Conditions

In an industry where change is a norm, one of the easiest ways to stay afloat is by partnering with us. Our insurance claims processing services is flexible enough to adapt to latest business shifts and help you respond appropriately to the changing conditions.

Other benefits of outsourcing insurance claims processing services to an expert insurance claims processing company like MedBillingExperts:

  • Guaranteed 98+% accuracy
  • Claims processing cycle time cut short by 40%
  • Cost reduction up to 40-50% per FTE
  • State-of-the-art processes
  • Skilled and experienced staff
  • Complete data security and confidentiality
  • Quick turnaround time
  • 24X7 Operations
  • Automated routine tasks for enhanced productivity
  • Reduced reconciliation activity for stakeholders
  • Knowledgeable resources
  • Claims standardization; prompt claim inspection within 48 hours and first report availability within 72 hours
  • Proficiency on multiple claims and bill review platforms
  • Stringent SLA (Service-Level Agreement) compliance measures
  • Timely post-inspection report updates

When you outsource insurance claims processing services to MedBillingExperts, you’ll partner with a insurance claims processing company that is extremely skilled in combining optimal mix of people with state-of-the technology to provide highly efficient and reliable insurance claims processing companies to insurance companies.

Contact us today and discover the advantage of outsourcing insurance claims processing services to MedBillingExperts.

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