Inefficient business processes and poor system configuration, especially in claims processing, can frustrate members and providers and result in lower revenues, lawsuits and penalties.

eHealthPartners delivers Claims Optimization solutions that help payers reduce the costs of claims business processes, detect faud and abuse, accelerate claims processing and increase auto adjudication rates. These services also allow plans to more effectively predict and manage medical and administrative costs.

Our Claims Optimization Services include:

• Claims processing assessment
• Claims business process analysis and improvement
• Claims system configuration review
• Claims backlog reduction
• Claims staff augmentation
• Claims processing training

The result is higher auto adjudication rates, more accurate and timely claim payments, lower administrative cost and improved employer and provider relations.

To learn more please call us at (678) 387-6330 or email us at sales@ehealthpartners.com