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Advantage VITAL LINK
- Customized solution for small and medium enterprises
- Over 10 years of experience
- Robust Project Management
- State of Art facility and highly developed infrastructure
- Internal Quality Process eSCM
Level 4 & Sigma 5.35
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Claims & Data Entry |
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Introduction |
| American physicians provide services to patients and claims reimbursement from insurance companies. Their medical reimbursement process includes descriptions of procedures and services the physician provides, along with patient information on a standard form called HCFA1500, UB92, & dental form.
A typical bill-to-receive-payment cycle is 45 days, if claims are filed within 24 to 48 hours. Doctors may be fined up to $10,000 for each item or service incorrectly billed.
Hence accuracy and fast turnaround time is of utmost important. Claims are filed, conveniently handled and delivered in a professional easy-to-use format by the data entry outsourcing services. Research says that American Healthcare processes around 3 billion such claims per year. |
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Our Solution |
- We receive scanned images from provider of health services as our input. These images are received in a secure form using PGP encryption over our FTP server.
- Our team of Data Entry operators key the form to create a database using our proprietary software “Key-From-Image” and the workflow is “Double-key-verify” to get 99.995% accuracy of data
- Post quality check, the output database in a client defined formats: ASCII, comma separated, EDI
- Everyday this process repeats and we process more than 10,000 health claims per day
- To maintain SLA on accuracy we use complex validation features, and to maintain SLA on turn-around time, we have a very well trained and productive Data entry staff.
- Strong in-house knowledge repository to train new operators when they join, so that they assimilate and become productive faster.
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Client Benefits: |
- Ability to handle changes in daily volumes of claims
- Outsource extremely labor intensive process, and focus on core revenue generating processes
- HIPAA compliance
- Accuracy of 99.995% compared to errors and costs associated with automated OCR/ICR software.
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| For more information, you can either call us on 1-877-898-7488 (USA) or 203-371-7595 (UK) or write to us at vital.sales@vitallinkcorp.com |
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