Medical Claims Outsourcing Philippines
The Claims Adjudicator processes claims according to plan documents while applying company policies and procedures. The Claims Adjudicator verifies data entered from the claim form is accurate and complete to enable the claim to be processed correctly.
They verify that the data entered from the claim form is accurate and complete to enable the claim to be processed correctly by insurance payers.
Offshoring claims processing services can help improve claim payment accuracy and maintain a low backlog of work by properly identifying pricing and/or submission inconsistencies to management.
This involves researching and resolving pre-processing errors and edits to ensure that claims are filed timely. Accurate and timely processing of claim appeals means compliance with the various payor requirements.