Medical Claims Processing Services

Is medical claims processing taking too much of your time and you are not able to focus on other core activities? Are you falling short of resources who can provide you with accurate medical claims processing services and avoid denials? Then, the best option for your company is to outsource medical claims processing services to an experienced service provider. The service provider will not only help in reducing the number of denials but also help in giving you an ample amount of time to focus on other activities.

Flatworld Solutions provides healthcare claims processing services to medical service providers all over the world. Whether you are a healthcare provider or a doctor with an independent practice, we can provide HIPAA compliant services that can help you focus on your core job while we take care of the routine work. Partnering with us can also help you save more than 45% on your operating costs.

Medical Claims Processing Services We Offer

Having been in the healthcare industry for over 19 years now, we understand the client's requirements with ease and provide the services accordingly. Our team comprises of experienced and skilled professionals who can cater to any of the client's needs. Some of the key services we offer include -

1. Insurance Eligibility Verification
2. Medical Insurance Claim Setup
3. Claim Adjudication
4. Claim Document Imaging
5. Claim Support & Auditing
6. Account Settlement
7. Disbursement

Other Services That You Can Benefit From

Flatworld's Process for Medical Claims Processing

Being one of the leading providers of medical claims processing services, we believe in providing clients with the best quality services within a quick time. This is made possible by following a streamlined and systematic process for medical claims processing. The key steps involved in our process include -

01

Enter data related to patient demographics, referring physicians, CPT and ICD Codes, and Modifiers into the medical billing software

02

Scan the documents for any billing errors and correct them, if required

03

Adjudicate healthcare claims for accuracy

04

Prepare an Explanation of Benefits (EOBs)

05

Submit and file the claim with the insurance company

06

Conduct follow-ups on the claims with the insurance company

07

Provide you with information about the status of the claim

08

Process any denied claims and re-adjudicate them for claims submission

Software We Leverage for Medical Claims Processing

We use leading medical claims processing software for scanning insurance claim forms and automating the collection and processing of claim payment data. This helps us process claims in record time. In addition, our integrated, client-customized systems help us handle claims related to a wide variety of health plans as well as medical, vision, prescription drugs, dental, disability, and COBRA claims. We believe in providing our clients with error-free services within a quick time. This is possible by making use of the latest and best tools and technologies. Some of the popular software we leverage include -

Why Choose Flatworld Solutions for Medical Claims Processing?

Outsourcing medical claims processing to Flatworld Solutions can give you access to a series of benefits which you can take advantage of. Some of the key reasons for you to choose us include -

• Decrease the time taken for claims filing and processing and increase your revenue by more than 20%
• Allocate your resources to providing healthcare BPO while we take care of the repetitive and mundane tasks
• Get HIPAA compliant services which ensure that all your data is completely safe
• Get cost-effective services which will help in reducing denials and improve revenues
• Get a dedicated project manager who will be the single point of contact for all your needs
• Reduce administrative overheads
• Get access to robust processes that ensure a high degree of accuracy and increase your chances of recovering the claims
• Get access to talented personnel without having to hire additional resources
• Screen minute bugs, which further increases the chances of your claims being accepted
• Ensure that confidential patient data is protected through the use of the latest medical claims processing software
• Get periodical reports on claim statuses as well as work-in-progress
• Detect any duplicate claims
• Get access to fully automated payment solutions
• Minimize compliance issues
• Increase Adjudication Rates

Client Success Story

Demographic and Charge Entry Services

A leading client was looking for a partner who could process more than 17000 claims in a month using the Kareo software. Our team provided the services within a quick time.

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Insurance Eligibility Verification Services

A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility verification services. Our team provided the client with cost-effective services.

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Outsource Medical Claims Processing Services to Flatworld Solutions

Flatworld Solutions focuses on providing superior medical claims processing services that can help you provide better healthcare. We believe in understanding your overall process at the start of the relationship. This helps us understand where exactly we fit in your plan so that we can add significant value to your healthcare practice.

We also provide more services such as Medical Insurance Claims Processing, denial analysis, payment posting services, EMS billing, and more.

Contact us to outsource medical claims processing services.