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Outsource Claims Adjudication Services

Outsource2india (O2I) has been offering claims adjudication services to large insurance carriers and TPAs (third party administrators) since our inception, about a decade ago. O2I's claims adjudication approach is simple - engaging a team of experienced and qualified claims adjudicators and a team of IT professionals to deliver efficient adjudication solutions to payors. By availing our services you experience a blend of people, processes, systems and technology that ensures exceptional quality, increased efficiency and significant cost savings.

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

Summary of Our Claims Adjudication Process

  • Eligibility
  • Duplicate Claims Check
  • Coding, Bundling and Diagnosis Review
  • Hospital Detail Analysis
  • Benefit Determination Adjudication
  • Rules-Based Edits

Claims Adjudication Team

Our team consists of professional claims adjudicators who have been trained on multiple platforms and plan designs. We deploy experts from our proven team of competent claim processors and adjudicators. Our adjudicators have clinical knowledge and exceptional analytical skills. They have been trained in the U.S. healthcare processes and claims adjudication systems and processes. Each adjudicator goes through rigorous training on our customers' processes and subsequently develops proficiencies in a simulated environment.

If you are looking for claims adjudication services, contact us now!

Other Related Services Offered by Outsource2india

  • Claims Processing Service
  • PPO Repricing Service
  • Forms Processing Service
  • Insurance Fraud Detection Service
  • EDI Integration Service

Why Choose Our Services?

At Outsource2india, we have the relevant competency and capability in providing claims adjudication services. Our customers have benefited from our high-quality services and operational efficiency. The team at O2I is flexible in adjudicating claims payment by either using the customer's payment system or our own in-house claims system. What also helps us is our vast experience in providing services such as medical billing, medical claims processing, healthcare claims adjudication and medical coding.

We understand the significance of claims adjudication and the effects it has on medical claims processing. Thus, our dedicated team of claims adjudicators delivers high-quality claims adjudication services at reduced rates, within a short turnaround time. You can partner with us for all your claims adjudication requirements. We can take care of your claims adjudication process needs in a professional manner.

Contact us to outsource your claims adjudication requirements.

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