Payer Administrative Services
Ensure precise compensation.
Boost performance, and elevate member satisfaction.
HEDIS & STAR CAPTURE
Experienced professionals perform HEDIS chart abstraction, ensuring accurate data extraction for quality reporting and adhering to NCQA guidelines for comprehensive clinical reviews of EMR documentation.
HIERARCHICAL CONDITION CATEGORY CODING REVIEW
Ensure precise risk adjustment coding for Medicare Advantage and ACA, optimize compensation through comprehensive HCC review services, and enhance risk score quality.
MEMBER ENGAGEMENT
Leverage EHR data for efficient member triage, message routing, appointment scheduling, prescription refills, and care coordination, enhancing member experience and reducing administrative burden.
Maximize Payer Administration
Streamlined benefits management and improved operational efficiency.
Empower your organization with streamlined benefits management and efficient administrative solutions.
EXPERIENCE
Boasting over two decades of trusted expertise in healthcare management services.
SPECIALISTS
Leading the industry with a team of over 800 coding specialists.
SUPPORT
Handling over 8 million patient support calls annually.
ACCURACY
Guaranteeing data quality with a remarkable accuracy rate of 99% in provider data management.
- RISK ADJUSTMENT CODING
- SEAMLESS COMMUNICATION
- TECHNOLOGY-DRIVEN CLAIMS
Risk Adjustment Coding Expertise
Maximize your reimbursements with our specialized coding services. Our team of 800+ experienced specialists leverages extensive industry knowledge to ensure accurate documentation, guaranteeing you receive optimal compensation for the care you provide
Provider & Member Communication
Foster deeper relationships with providers and members through our efficient communication solutions, handling over 8 million inquiries annually. This ensures timely and accurate information is readily available, enhancing overall satisfaction and fostering a collaborative healthcare environment.
Technology-Driven Claims Administration
Experience faster and more accurate claims administration with our advanced technology. Leveraging AI and robotic process automation (RPA), we streamline workflows, minimize errors, and ensure financial accuracy and compliance with industry regulations, freeing you to focus on delivering exceptional service.
Risk Adjustment Coding Expertise
Maximize your reimbursements with our specialized coding services. Our team of 800+ experienced specialists leverages extensive industry knowledge to ensure accurate documentation, guaranteeing you receive optimal compensation for the care you provide
Provider & Member Communication
Foster deeper relationships with providers and members through our efficient communication solutions, handling over 8 million inquiries annually. This ensures timely and accurate information is readily available, enhancing overall satisfaction and fostering a collaborative healthcare environment.
Technology-Driven Claims Administration
Experience faster and more accurate claims administration with our advanced technology. Leveraging AI and robotic process automation (RPA), we streamline workflows, minimize errors, and ensure financial accuracy and compliance with industry regulations, freeing you to focus on delivering exceptional service.
Maximize Financial Returns
From streamlining processes to ensuring stability, our comprehensive approach transforms revenue management strategies to drive efficiency and success.
Discover how our tailored revenue optimization solutions can enhance your bottom line.
CONTACT US
Unlock Efficiency, Boost Revenue – Contact Us Today for Payer Administrative Excellence!