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Medical Insurance KPO

E-Claims Processing and Claims Support Solutions




E-claim takes care of entire healthcare revenue cycle process including everything from determining patient eligibility, collecting their co-pay, coding claims correctly, tracking claims, collecting payments and following up on denied claims.We have Solutions to provide e-claims processing along with KPO.Our Solution provides complete customer support and call desk equipped with accurate data at all time.The KPO team handles daily on-line pre-authorizations requests from healthcare providers and electronic insurance claims that come to a Business Process Outsourcing (BPO) company. All these requests are queued to the team which are processed 24 x 7.A helpdesk/call center support is provided for both the payer and provider side of Insurance process, so that its use is promoted.We also, provide Pharmaceutical Warehouse Management to manage entire procurement and Supply chain process of the respective client.




Case Study

We have developed Enterprise App with patient centric services inclined with cashless insurance, providing benefit to service provider. There is a team which handles 5,000 daily on-line pre-authorizations requests from healthcare providers and electronic insurance claims that come to a Business Process Outsourcing (BPO) company. All these requests are queued to the team which consists of 40 to 50 people. The requested are queued and processed 24 x 7, so in a month 10,00000 claims are processed. A helpdesk/call center support is provided for both the payer and provider side of Insurance process, so that its use is promoted.We have provided complete customer support and call desk equipped with accurate data at all time. We have also, provided Pharmaceutical Warehouse Management to manage entire procurement and Supply chain process of the respective client.








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