Global Offshore Outsourcing Company India
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
 Claims & Data Entry
   

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.

Claims data entry

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.
Claims data entry
 

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.
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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