The healthcare vertical provides electronic claim / invoice creation services to Medical Billing Service Providers, for treatments rendered to each patient. The objective of the task is preparation and verification of claims based on the encounter documents and enables the billing company to electronically post for reimbursement from the designated Payer Group.

We process the invoices off the client systems through remote real-time access using VPN connectivity.

Our Service Scope:

	Feed: The encounter documents, elaborating the treatment history of a patient, is sent over to us. Client specified fields are captured from this feed.
	Login: After accessing the client’s medical billing application through VPN, the operations are carried out by real time access into the client’s operating system.
	Data Capture: Predefined precise fields like service dates, diagnosis codes (ICD), procedure codes (CPT), invoice amounts etc. are captured from the feed onto the client platform.
	Critical Data Verification: The contents of charge fields are automatically summed up by a prewritten script. This summed result is matched against the entry in the field. All other fields are verified by look up with the feed.
	Reporting: The client is notified of the status of posting electronic claims onto their system through a detailed report.

The key benefits to clients by outsourcing these services:

	Experienced claims handling staff ensures accuracy of CPT and ICD-09 codes with virtually zero errors on invoice amounts
	Multiple number of cross-trained staff ensures deliveries under fluctuating volume conditions
	Exhaustive reporting ensures client is always in the loop