Healthcare Solution for Payors2018-07-25T12:59:02+00:00

Healthcare Solutions for Payors

In the continually changing healthcare environment, companies have to contend with the complex demands of benefits administration, claims processing and compliance while striving to build capabilities, be agile, cost competitive and maintain customer focus. Allsec’s healthcare claims and administration BPO services are designed to resolve these issues and enhance resourcefulness.

Every solution is customized to client’s unique requirements. Allsec can leverage offshore and domestic processing centers to provide reliable, timely and accurate, document and data processing services delivery. Allsec can manage the entire document, content and data lifecycles improving access to critical documents, data and information.

Our Healthcare services allow you to:

  • Front end/Mailroom
  • Document Imaging
  • OCR and Document Capture
  • Provider File Matching
  • Member Eligibility Matching
  • Advanced Pre-Adjudication Editing And Validation
  • Document And Transaction Content Management
  • Customized Reporting And Analytics
  • Compliance With HIPAA And Other Healthcare Regulations
  • On-Site Services

Some of the supported transactions are:

  • 835 – Claims Payment
  • 834 – Eligibility
  • 837 – Claim submission
  • 5010 – Claim Submission
  • 276 – Claims Status Request
  • 277 – Claims Status Response
  • 278 – Precertification and Referral
  • 997 – Functional Acknowledgement
  • Proprietary Formats
  • ERA (Electronic Remittance Advice)

Resources

For more information, write to us at healthcare@allsectech.com or speak to a specialist at 214-862-4030