Outsource FAQs on Outsourcing Claims Adjudication Services

1. What Does Claims Adjudication Mean?

   Claims adjudication in billing is a process of evaluation of your claim for settlement by an adjudicator. The adjudicator will decide if the claim justifies the coverage that is prescribed by the insurer.

2. Tell Us More About Your Claims Adjudication Services?

   We have a streamlined and systematic process in place which can be best customized to suit your business requirements. We have a skilled team who can understand the claim eligibility and the assured sum in an efficient manner. Our services can ensure zero lapses every single time.

3. How Can I Start Outsourcing My Project Requirements?

   You can start by getting in touch with our team and letting us know your business requirements. Once we have understood your business requirements and challenges, our team will create a customized package for your company.

4. What Other Services Do You Offer?

   Apart from claims adjudication services, we also have the required expertise and resources to help clients with dental claims adjudication, remittance processing, medical claims processing, Medicare reimbursement,medical claims and encounter processing, etc.

5. How Can I Follow-up on a Medical Claim?

   Only by frequent follow-ups, do the claims get processed efficiently. It is important to check the claims status and document responses as part of the workflow determined for the claims adjudication processing in the United States of America.

6. How Do Electronic Claims Work?

   Claims adjudication service providing companies submit the claims electronically to speed up the claims process. The CPT codes are matched with the ICD-9-CM and ICD-19-CM based on the service provided and submitted in the ANSI 837 format. The main purpose of this process is to eliminate any errors and be HIPAA compliant.

7. What are the Key Steps Involved in an Adjudication Process?

   There are 5 key steps involved in an adjudication process, they are -

   • Preliminary Review
   • Automatic Review
   • Manual Review
   • Payment Determination
   • Payment Closure

8. What are Your Pricing Options?

   We provide clients with highly flexible and affordable pricing options that will suit their business requirements and budget perfectly. Our pricing starts from as low as $4.5 to $60 per reading and FTE rates start from as low as $1280 per month.

9. How Long Will It Take to Get Started?

   As soon as the client shares the business requirements and they are ready to kickstart, we can start the project within a few days. Within a few weeks of starting the services, the client will be able to see and reap the benefits.

10. What Makes Outsource2india Different from Other Service Providers?

    We are a HIPAA certified firm which ensures that all the patient data is safe and secure at all times. Being an ISO/IEC 27001:2022 ISMS certified firm, you can rest assured that all your data is safe and not divulged to any third party. We have some of the most skilled and experienced claims adjudication experts who can cater to all your needs with ease.

11. How Can I Get in Touch with outsource2india?

    You can get in touch with our team by filling in the form here. Alternately, you call us on the number provided or chat with our customer service agents using the webchat option 24/7. Once we receive a request from your side, our expert team will get back to you within 24 hours.

Outsource Healthcare Claims Adjudication Services to Outsource2india

Outsource2india has been a pioneer in providing the best quality claims adjudication services in India and a series of other healthcare BPO services to clients. We have some of the most experienced and skilled claims adjudication specialists on board who can cater to all your needs with ease. We leverage the latest tools and technologies while delivering top-notch services to global clients.

Are you looking for an efficient and reliable medical claims adjudication service providing company? Then, your search ends here. Get in touch with us today!