CLAIM ADJUDICATION

Medical Claims adjudication can become extremely messed up if you do not attach efficient processes to manage it. Such a mess can cause unwanted claims, duplicated claims, delayed execution, and, eventually affect your profits. You can choose to streamline your healthcare claims adjudication by choosing to work with Techverce.

By availing our services, you experience a blend of people, processes, systems and technology that ensures exceptional quality, increased efficiency and significant cost savings.

Our dedicated team of claims adjudicators and claims analysts will support you through the entire claims adjudication process in the same way an in-house team would do.

Types of Claims We Process and Adjudicate

• HCFA1500 / CMS1500

• UB92/UB04

• Dental Claims

• Miscellaneous (complex / non-standard)

• Pends / Correspondence

• Enrollment Forms Processing (EFP)

• Vision Forms

Our Claims Adjudication Process

• Eligibility

• Duplicate Claims Check

• Coding, Bundling and Diagnosis Review

• Hospital Detail Analysis

• Benefit Determination Adjudication

• Rules-Based Edits.

What Makes Techverce Different from Other Claims Processing Outsourcing Companies?

• Our claims adjudicators are experts in healthcare claims processing and process your claims with efficient analytical skills, and not as a mindless activity.

• Our adjudicators are specifically trained in US healthcare adjudication systems and processes and provide dedicated healthcare.

• We know and understand the intricacies of International insurance regulations and work according to your specific needs, in compliance with international healthcare claims standards and regulations.

• We provide maximum efficiency, quick turnaround time, accurate recording and up-to-date maintenance of records.

• You can be confident about the security of your data as we follow stringent data security systems and legally binding security policies.