Medical Claims Processing Services

Outsource 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 20 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 -

Enter Data into Medical Billing Software Enter data related to patient demographics, referring physicians, CPT and ICD Codes, and Modifiers into the medical billing software
Scan Documents for Any Billing Errors Scan the documents for any billing errors and correct them, if required
Adjudicate Healthcare Claims for Accuracy Adjudicate healthcare claims for accuracy
Prepare an Explanation of Benefits Prepare an Explanation of Benefits (EOBs)
Submit and File the Claim with Insurance Company Submit and file the claim with the insurance company
Conduct Follow-ups on the Claims Conduct follow-ups on the claims with the insurance company
Provide you with information about the status of the claim Provide you with information about the status of the claim
Process any Denied Claims and Re-Adjudicate them for Claims Submission 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 -

NextGen healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

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

Case Study on Demographic and Charge Entries

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.

Read more
FWS Provided Insurance Eligibility Verification for Telemedicine Provider

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.

Read more

Outsource Medical Claims Processing Services to Flatworld Solutions


The team at Flatworld Solutions does an admirable job of getting the bulk of orders completed prior to closing the books! Thanks a lot!

Healthcare Service Provider, Florida, USA
More Testimonials »

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.

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Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540


Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000

KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

AHIMA Healthcare Convention 2016 Read More

Medical Claims Processing Services FAQs

  • What does processed claim mean?

    It is the final step on the insurer's behalf where the claim submitted by the claimant is received, investigated for eligibility, and qualifies for a pay-out.

  • Why medical claims are denied?

    Medical claims may be denied for one or more reasons of which are failed eligibility, shortfall in document, failure to justify the service/care, physician not part of the insurer network, etc.