Health Insurance Managed Services
"Let Specialist Handle your Health Insurance Department”
Seamless Payer/TPA/Health insurance companies connectivity for Pre- authorizations/Claim submissions. Present Online coverage with TTK, Medassist, ICICI Lombard, Star Health, Dedicated Healthcare, United Healthcare, FHPL, & E-Meditek, more in pipeline.
Patient counseling - Setting patient expectations right with respect to cashless
Pre-Authorization –Screening and communicating patient relevant information for possible authorization. Pre-Discharge Validation - Validating relevant patient info & segregating billing
Info into patient payable and payer payable.
Claim Tabulation – Payer Specific Claims Documentation & tabulation Centralized Claims Validation – Verification of the Claims Document availability in line with the Hospitalization, Claims info validation, Package and billing utilization validation. Claims Query Handling - Assisting hospital staff in replying to insurance queries. Customer Base - Around 600 Hospitals and 8 Payers. TPA’s and Health insurance
companies. [ Manipal Hospitals, Fortis Hospitals, Sagar Hospitals, Madras Medical Mission, Vasan Eye Care, St.Johns Medical college & Hospital, Global Hospitals, Vaatsalya Hospitals, Sri Ramachandra Medical College & Hospital, Dr.Agarwal Hospitals.