Delay and denials in account receivables are significant challenges faced by the healthcare industry, that negatively impacts the overall financial health and well-being of the facility. Having a robust medical accounts receivable process at your disposal aids in ensuring consistent revenue, secured and faster payments, prompt follow-ups, denials at bay, and maximized count of reimbursements. However, with the recent enhancements in healthcare, it is a strenuous task for medical providers to establish robust and well-structured accounts receivable and billing strategies for their businesses. That’s where our medical accounts receivable services come to the rescue.

Our team of qualified experts will help boost your healthcare’s cash flow via our proven strategies and strict account protocols. Our extensive experience and the latest infrastructure in healthcare AR services equip us with relevant expertise to help our clients efficiently reduce bad debts, enhance collection processes, and boost their revenue.

Medical Accounts Receivable Solutions We Offer

As a leading medical accounts receivable solution provider, we take pride in offering best-in-class collection solutions to assist your clients in avoiding payment delays. Listed below are a few services that you can benefit from leveraging our medical accounts receivable solutions

»Accounts Receivable Follow-up

Leverage our accounts receivable follow-up and management services to take care of denied/ rejected claims and refile them to achieve maximum reimbursement.

»Medical Billing Services

Incorporate our state-of-the-art tools and technologies to deliver end-to-end medical AR services, from patient enrolment and eligibility verification to billing, coding, reconciliation, and AR collection.

»Bad Debt Analysis

Take our assistance for accounts receivable in healthcare to offer accurate bad debt analysis solutions to your clients and help them establish the most appropriate solutions to resolve and collect unpaid accounts efficiently.

»Credit Balance Services

Our team of experts will help our clients handle complex tasks professionally with our on-time credit balances and refunds while ensuring optimum adherence to guidelines.

»Insurance Verification Services

Expand your staff’s working capabilities with our services. We will help verify insurance types, outline surgical benefits, and ensure timely service reimbursement.

»Accounts Receivable Conversion Services

Our extensive experience in healthcare accounts receivable management backs us with the technical know-how and expertise to ensure seamless system migration and integration to secure timely collection.

»Accounts Receivable Analysis Services

Use our accounts receivable solutions for healthcare providers to assist your clients effectively in helping them deal with low cash influx by offering them the quick resolution of unpaid accounts.

»AR Calling Services

Utilize our AR calling services to aid your clients in obtaining account status, ensure quick follow-up with customers/ patients, and initiate fool-proof action to receive payments.

Process We Follow for Our Healthcare Receivables Solutions

01. Claims Filing

As the first step, our accounts receivable specialists will file claims to the suitable insurance carrier

02. Tracking Status

Conduct timely follow-ups with the carrier to track claim status

03. Identifying Denial Causes

Our team will help analyze and effectively address the denied claims by identifying the reasons for denials

04. Following-up

Once we identify the reasons for denials, we will ensure effective follow-ups with the carrier and patients to get additional information

05. Refiling

Then, we will re-submit the corrected claims to the insurance carrier

06. Final Payment

We will effectively monitor the status of refiled claims until full and final settlement

The financial health of a healthcare organization is crucial for its survival and the healthcare practitioners would not be able to continue their services unless they receive the full settlement. Thus, a systematic AR calling is critical to a successful medical business.

At Corida Technologies, we make sure that the AR calling process is handled by a skilled and competent team of AR calling professionals who have extensive experience in using the advanced tools to thoroughly follow up with the clients to get the full remittance. Our AR calling services focus on the difficulties that delay debt collection, which may include claim issues, negligence, etc.

AR Calling Services We Offer

Our AR Calling staff can ensure that claims are paid as quickly as possible so that the healthcare professionals can focus on delivering world-class medical services rather than performing management tasks. Some of the services that fall under our AR calling services include

»Track Unpaid Insurance Claim

If you want to maximize the payment that you are entitled to and in the shortest possible time, then, you must outsource AR calling services to us. Our expert healthcare support team can help you maintain low average AR days by diligently following up with the medical insurance company and patients for any impending settlement amount.

»Manage Patient’s Collectible

If you are dissipating valuable resources to manage the patient’s collectible, but not getting the intended outcome, then, do not worry, we can help you with the collections, payments, etc. This will streamline the entire process of administrating the patient’s collectible and ensuring that you recuperate from the financial constraint.

»Track Electronic and Paper Claim

Our AR analysts can proficiently monitor the receivables while ensuring that it remains within control. They can efficiently track each electronic and paper claim. They are also vigilant while handling the rejections from a clearinghouse/carrier.

»Generate AR Reports

Our AR calling experts can assist you to create monthly/quarterly/yearly financial reports on the account receivables. This will assist you in distinguishing the collectibles & non-collectibles and also in the identification of co-insurance along with its calculations.

Benefits of Choosing Us for AR Calling Services

Corida Technologies has been a prominent AR calling services provider for the last two decades and has earned the trust of the world’s leading healthcare customers. We have the necessary resource capabilities and expertise to make the most of your entitled amount help you resolve all your AR calling related issues. Outsourcing AR calling services to can give you the following advantages

»Affordable AR Calling Services

»Data Security

»100% Information Security

»HIPAA Compliant Services

»Multiple Delivery Centers

»Best Infrastructure

»Accuracy

»Ease of Scalability

»Better Productivity

»Saves Time

»Skilled Team

Physician clinics, large hospitals, and healthcare providers worldwide often grapple with denied claims, which significantly impact their revenue. Considerable time, expertise, and resources are required to manage claims efficiently. This is precisely where the expertise of outsourced revenue cycle denial management services like ours can make a significant difference. Our clinical documentation specialists resolve everything from coding errors and inaccurate patient information to delayed submissions and lack of authorization.

Drawing on our rich legacy of over twenty years, we guide you skillfully through the intricate maze of claim denials. Our team employs a comprehensive approach that includes investigating the root causes of denials, implementing corrective actions, and devising strategies to prevent future denials. We go beyond conventional solutions and provide automation recommendations where possible. Automating redundant tasks, such as claim scrubbing, eligibility checks, and prior authorization, significantly reduces the chances of claim denials. This streamlines your revenue cycle and frees up your staff to focus on providing quality healthcare.

Ready to turn the tide on claim denials and increase your cash flow? Take the first step towards clean claims by outsourcing your denial management requirements to us.

Services We Offer

Our services are expertly designed to streamline your revenue cycle and significantly decrease claim denials. We provide an all-inclusive range of services for denial management in medical billing, each meticulously tailored to improve your Revenue Cycle Management (RCM). Our skilled and qualified denial management experts are committed to delivering top-quality services, ensuring every claim is managed effectively and efficiently. Explore our diverse services uniquely devised to assist you in achieving your operational and financial goals.

Denial Identification

Our denial identification service is designed to help healthcare providers swiftly and accurately identify denied claims. We understand that time is of the essence, and the faster a denied claim is identified, the quicker it can be addressed, reducing potential revenue loss. Our skilled team works diligently, using advanced technology and proven techniques, to promptly identify and rectify denied claims, enhancing your cash flow and overall financial health.

Root Cause Analysis

Our root cause analysis service is a robust solution that digs deep to uncover the underlying reasons for claim denials. We believe in addressing the problem at its roots rather than just managing the symptoms. Our expert analysts use advanced tools and methodologies to identify recurring patterns causing denials, enabling strategic process improvements. We help increase your revenue and improve your financial performance by preventing future denials.

Categorizing the Denials

Our service of categorizing the denials segregates denials based on specific reasons. We recognize that each denial has its unique reason and needs to be categorized accordingly for effective management. Our experienced team analyzes every denial, categorizing them based on reason, type, and frequency. Simplifying complex data into actionable insights drives strategic processes that minimize denials.

Denial Documentation

Effective RCM denial management in healthcare requires a comprehensive and organized documentation system. Our denial documentation service ensures a well-documented audit trail for each claim, aiding in successful appeals and compliance with regulatory requirements. Our team meticulously maintains detailed records for each denied claim, ensuring that all necessary information is readily available when needed.

Denied Claim Appeals

This service is specially designed to help you recover your rightful revenue. We understand that the appeal process can be intricate and time-consuming. Our team of experts professionally handles the appeal process for each denied claim, using their knowledge and experience to ensure maximum claim recovery. This service allows you to minimize the denial rate in medical billing.

Coding Review

The coding review is designed to ensure accurate coding and prevent denials in medical billing. Our certified coders meticulously review each code for accuracy, compliance, and completeness. By identifying and correcting coding errors before claim submission, we help maximize your reimbursement potential and reduce administrative burdens. This leads to increased revenue and improved operational efficiency.

Clinical Documentation Improvement

Clinical documentation improvement services enhance the quality and completeness of clinical documentation. Accurate and comprehensive clinical documentation is crucial for coding, accurate billing, and ensuring due reimbursements. Our team of experienced clinical documentation specialists works closely with your clinical staff, providing necessary feedback and education to improve documentation practices.

Denial Reporting and Analysis

Denial reporting and analysis service provides in-depth insights into denial patterns. We use advanced analytics to identify trends and patterns in your denied claims, enabling strategic decision-making for improved revenue cycle performance. This service helps you understand the ‘why’ behind the denials, allowing you to make data-driven decisions to improve your operational efficiency and financial health.

Technology Solutions

We leverage the power of advanced technology to streamline your denial management process. From AI-powered analytics to automated workflows and denials management analytics, we implement state-of-the-art technological solutions that increase efficiency, reduce manual errors, and speed up the claim resolution process.

Workflow Optimization

Workflow optimization service is designed to enhance the efficiency of your revenue cycle denials management process. We analyze your existing workflows, identify bottlenecks, and implement strategic changes to streamline operations. This service accelerates claim resolution, improves your bottom line, and allows your staff to focus on providing quality patient care.

Denied Claim Follow-up Services

Denied claim follow-up services ensure no claim is left unresolved. Our persistent team follows up on each denied claim until it is paid or corrected. We liaise with insurance companies, handle all the necessary paperwork, and ensure that every claim is resolved to your satisfaction, helping you maintain a healthy revenue cycle.

Monitoring and Preventing Denials

Our monitoring and preventing denials service takes a proactive approach to manage claim denials. We continuously monitor your denial patterns, identify potential risks, and implement preventive measures. This service helps secure your current revenue and protects your future revenue by preventing potential denials.

We also offer specialty-specific services, which include –

• Claim Review
• Error Correction and Re-submission
• Appeal Writing
• Reporting and Analysis
• Continuous Follow-up
• Process Improvement

Our Denial Management Process

01. Claim Analysis

We thoroughly examine denied claims to identify common patterns and root causes.

02. Error Correction

Based on our analysis, we address the identified errors, ensuring the accuracy of patient data, coding, and billing.

03. Re submission of Claims

Corrected claims are promptly resubmitted, ensuring compliance with payer guidelines to secure swift reimbursements.

04. Preventive Measures

We devise and implement robust strategies to prevent future denials, such as automated claim scrubbing and eligibility checks.

05. Continuous Monitoring and Improvement

Our team regularly monitors denial patterns and proactively tweaks strategies to adapt to changing regulations and payer requirements.

SPECIALIZED MEDICAL BILLING PAYMENT POSTING AT CORIDA TECHNOLOGIES

READING AND ANALYZING EOB

EOB basically consists of patients’ names, their account numbers, control numbers, service dates, procedure codes, billed/allowed/adjusted amounts, denials information, deductibles, co-insurances, co-payments if any, etc. Once you receive the EOB from the insurer our resources do not just key in the mentioned details into your billing system rather go through it carefully and analyze it to identify payment and other related patterns like the percentage of insurance receivable, frequency of inflows, denials, amount outstanding percentage, etc., and then record it.

ANALYSIS BASED ACTION

Once we establish the payment receivable patterns, we immediately send out the necessary action chart to the respective billing departments to take necessary measures to increase the inflows. For instance, if there is a difference between the allowed amount and the payment amount, then balance payable amount will become the patient’s responsibility. The EOB clearly states as to why the balance need to be paid by the patient, in cases like co-payment, deductibles or co-insurance or uncovered insurance. O2I immediately passes out this information to the billing department which helps them to collect the outstanding receivable from the patient easily and swiftly.

Long work hours, continuous stress, and unmanaged work-life balance can take a toll on the health of your employees. To ensure all employees in the organization are at their productive best, it has become imperative for companies to conduct regular health risk assessment surveys. Health and Safety Risk Assessments not only help you improve your employees’ health, but also understand their health risks, lifestyle behaviors, and areas that need immediate attention to keep your workforce at its productive best. After all, healthy employees are productive employees.

At Corida Technologies, we provide comprehensive health risk assessment services to companies and organizations, big and small, to help them access and score their employees/ patients on various health parameters, protecting them from several chronic diseases and ensuring their overall well-being. Our health and safety risk assessment services give you the power to reduce employee absenteeism, cut health insurance costs, and improve employee wellness.

Health Risk Assessment Services We Offer

Corida Technologies is a leading health risk assessment service provider offering its services to a large number of clients across the globe. Backed by an experienced team of healthcare analysts, we help employees evaluate their health and fitness levels and take predictive, result-oriented actions that help them achieve their fitness goals and improve workplace performance and productivity. Our comprehensive health risk assessment services include

»Complete Health Risk Assessment Survey

Through our comprehensive health risk assessment survey, we evaluate your employee for some of the most chronic lifestyle diseases, including diabetes, blood pressure, high cholesterol, stroke, and lung, breast, colon, and prostate cancer. Our simple and easy-to-understand reports display your employees’ risk to these diseases along with a peer-to-peer comparison for accuracy. Along the way, we also educate your employees to imbibe certain lifestyle changes – diet, exercise, and more – to prevent or treat these diseases.

»General Health Risk Assessment Survey

We help you understand and evaluate your employee’s risk to certain general health conditions that can affect their work performance and efficiency. Our general health risk survey provides you a detailed report on employees’ nutrition, stress and anxiety levels, alcohol and tobacco use, vehicle safety, physical activity status, health habits, and biometric measures.

»Mental Health Risk Assessment

One of the most important aspects of employees’ health that often misses our attention is their mental health. O2I’s mental health risk assessment services help you to evaluate your employees’ stress levels, emotional well-being, and general mental state. This helps us assess and highlight their care needs and their risk of harming themselves or others in the team.

»Occupational Health and Safety Risk Assessment

By conducting a thorough occupational health risk assessment, we help your business meet the health and safety standards. This not only helps you stay in compliance with the national and international safety legislation but also enables you to protect your workforce from occupational illness. From evaluating your building’s indoor air quality to monitoring sound levels and capturing toxic contaminants, we help you ensure that your workplace is well within the prescribed health safety limits.

Benefits of  Health Risk Assessment Services

Our holistic health risk assessment services in India help you gain a deep understanding of your employees’ health status to make sure your workforce is healthy and productive. Some of the far-reaching benefits of our health risk assessment services include

Is your medical organization struggling to keep up with the increasing competition and the regularly changing operating models? Are you falling short of resources to handle your medical claims processing needs? Then, the best option for your organization would be to outsource medical claims processing services to an experienced service provider. The service provider will not only help you with error-free claims processing services but also help in improving revenues by cutting down on operational costs.

Corida Technologies is one such service provider who can be your one-stop-shop for all your medical claims processing needs. Our team comprises some of the most skilled and talented medical claims processing experts who have the required experience to cater to any of the client’s needs.

Corida Technologies Medical Claims Processing Services

Your medical claims requirements frees you of the hassles involved and lets you shift your attention to patient care. Corida Technologies acts as your medical claims processor and can help you increase your revenue by handling all the activities involved in medical claims processing. We are HIPAA compliant and our claims processing and submission services fit easily into any medical billing software. At Corida Technologies we use an advanced and effective electronic medical claims processing software. This tool enables us to process claims at a faster rate with very few errors.

Here are some of the key services we offer our clients

• Medical Claims Data Entry
• Medical Claims Data Validation
• Medical Claims Administration Support Services
• Medical Claims Data Processing Services
• Medical Claims Data Indexing Services
• Medical Claims Data Extraction
• Medical Claims Data Archiving
• Claims Data Maintenance and Cleansing
• Medical Claims Finance and Accounting Support Services

Medical Claims Process We Follow at Corida Technologies

Being one of the leading medical claims processing companies across the globe, we believe in providing our clients with the best services within a quick turnaround time. This is made possible by following a systematic and streamlined process for medical claims data processing. Some of the key steps involved in our process include

1. Data entry of patient demographics, referring physician, CPT and ICD Codes, and Modifiers is entered into the medical billing software
2. Scan the documents for billing errors and correct them if needed
3. Adjudicate client claims for accuracy
4. Preparation of Explanation of Benefits (EOBs)
5. Submit and file the claim with the insurance company
6. Follow up on the claims with the insurance company
7. Apprise you of the status of the claim
8. Process denied claims and re-adjudicate them for claims submission

Benefits of  Healthcare Claims Processing to Corida Technologies

Outsourcing your medical claims requirements can result in direct cost savings of up to 45%. More than this, the other benefits of outsourcing include –

• Spend more time in your core activities such as providing medical care
• Speed up the process of claims filing and processing and increase your revenue by more than 20%
• Our quality process ensures that minute bugs are screened ensuring higher success rates with claims
• Greater accuracy in filing claims – greater your chances of recovering money for the claim filed
• No need to invest in additional staff – the cost of outsourcing is far less when compared to local staff costs
• Reduce or completely eliminate administrative overheads

Why Choose Corida Technologies for Medical Claims Processing?

Focuses on the intricate details needed with medical insurance claims processing; we also understand that more than being a vendor, we need to understand your business from a larger perspective and work towards a common goal. This attitude has helped us to grow successful relationships. A few other reasons why we might be your ideal partner –

Affordable Pricing Options

Choosing us as your medical claims processing partner can be highly cost-effective and easy. We provide our clients with the most affordable pricing options which will suit their budget and business objectives

Patient Data Security

We take patient-related data security very seriously.  This ensures that all your data is completely safe with us

HIPAA Compliant Services

We sign the HIPAA agreement before starting off any service for the client. This ensures that all the patient-related data and other medical records are kept safe and not divulged to any third party without the relevant permissions

Error-Free Services

We provide our clients with high-quality medical claims processing services. Which ensures that we deliver only error-free services to our clients and help them reduce denials by a considerable rate

Best Infrastructure

We know the importance of having the support of good infrastructure while providing the best quality services. Our team has access to state-of-the-art infrastructure in terms of great office spaces, the latest tools and technologies, and uninterrupted network connections

One Point Contact

When you outsource medical claims processing services to us, we will assign a dedicated project manager. This manager will keep you updated about the latest project updates and resolve any issues that you may have

24/7 Support

We provide our clients with round the clock support. All our teams including the call center agents, sales teams, and project managers are available 24/7 via phone or email to answer your queries and resolve any issues that you may have

Quick Turnaround Time

We have multiple delivery centers spread across time zones and all of them are fully operational. This enables us to deliver quality services within a quick time and help clients to clear their backlogs within a quick time

Easily Scalable

Our team of medical claims processing professionals has the required skills, talent, resources, and the bandwidth to easily scale up the service requirement as and when the client requires them

Experienced Medical Professionals

Our team comprises some of the most qualified and experienced medical professionals who have over 100+ man years of experience in the field of medical claims processing and have the capability to cater to any of the client’s needs

Finding it difficult to manage your time as well as the intricacies of Medicare payments and reimbursements? Do Medicare reimbursement requirements and Medicare schedules have you overwhelmed? Fret not! For hospitals and physicians seeking to receive payments for the services that they provided to Medicare beneficiaries, relying on Corida Technologies Medicare reimbursement services is the best option.

Outsourcing Medicare reimbursement services to Corida Technologies is cost-effective enabling you to focus on things that require urgent attention besides reducing the burden of hiring and training new staff to file reimbursement claims. With our meticulous workflow, opting for our services will entitle you to faster claim-handling of all Medicare reimbursements, fewer rejections, and fewer payments-in-parts. We abide by the terms of the Centers for Medicare and Medicaid Services (CMS) Medicare reimbursement schedule.

Medical Reimbursement Services We Offer

Corida Technologies flawlessly handled Medicare reimbursement services by processing all applications in compliance with stringent Medicare regulations. We provide Medicare reimbursement to physicians as well as Medicare reimbursement to hospitals. The services that we are noted for are as mentioned below

Authentication of Documents

A list of all the mandatory documents required for claiming medical reimbursement is provided to you. We check the authenticity of all the invoices, case papers, and bills provided to us. Please note that any fraudulent documentation leads to the cancellation of the reimbursement process.

Data Entry for Medicare Reimbursement

This is inclusive of patients, consulting doctors, and all code sets. We have a thorough knowledge of the medical billing schedule. Every detail is then entered into the billing software and submitted electronically. We email a copy of the claim or dispatch a hard copy to you as per your request.

Medicare Reimbursement Processing

Being a leading provider of medicare reimbursement services in India, We verify all information before initiating the Medicare reimbursement process. This is followed by obtaining your signature on the final report before sending it across to the insurance company.

Detailed Explanations of Medicare Reimbursement Fee Schedule

A fee schedule is a comprehensive list of fees that Medicare follows to pay doctors, hospitals, and other healthcare providers. This list is used to reimburse on a fee-for-service basis. We are well-equipped with the knowledge of the current Medicare fee schedule.

Review of Medicare Reimbursement Claim

Being a top medicare reimbursement service providing company, we identify conditions that could result in the delay of the claim process and help you overcome it. All accepted and rejected claims are closely reviewed by us to eliminate any errors.

Data Indexing and Maintenance

All data accumulated as per Medicare criteria is meticulously filed allowing for easy access in the future. This is inclusive of the Medicare plan opted for, hospital and consulting physician information, patient demographics, and the type of treatment provided. All data can be retrieved in cases of audits and financial evaluations. We do not divulge any information submitted to us.

Administrative Support for Medicare Reimbursement

We provide complete assistance for claim approval. We guide you through the steps that need to be undertaken in case of any missing documentation thus minimizing claim rejection.

Accounting Support for Medicare Reimbursements

Our experts cross-check all the financial details and the pay-out expected from Medicare. We advise you on obtaining the maximum payout for every claim.

Explanation of Benefits (EOBs)

We inform you of the medical expense covered by Medicare as well as details on any payments that are not provided. We provide complete details on the deductible or a co-pay that needs to be taken care of.

Online Tracking of Claims Application

Once the Medicare reimbursement application is submitted, its progress can be tracked online. We immediately notify you of any hurdles at any stage. We conduct regular follow-ups for a faster process and cash flow.

Resubmissions and Medicare Reimbursement Solutions

All declined claims are resubmitted as per the CMS guidelines with the necessary rectifications. We help you understand how to go about collecting the co-pay amount from the patient in cases where full compensations are not made.

Medicare Reimbursement Process We Follow

Outsource Medicare reimbursement services to us for error-free remuneration. We provide Medicare reimbursement solutions to any/all your queries, doubts, and concerns for which you can consult with our team. You can reach out to us at any given time in the future and/or for an explanation of any unclear technicalities concerning the Medicare claim process. All claims are thoroughly assessed. The methodology followed by us for Medicare reimbursements processing is as follows –

Data Accumulation and Entry

All patient information, consulting physician details, CPT and ICD codes provided are entered and collated into the billing software

Authentication of Data

The documents are cross-checked for any errors

Adjudication

All claims are thoroughly examined for accuracy

Explanation of Benefits (EOBs)

A detail Explanation of Benefits is prepared for your perusal and consideration

Submission of Claims

All claims are sent to CMS

Follow-ups

Timely follow-ups are done ensuring no delays in payments

Intimation of Claim Status

We inform you at every stage of the claim process

Re-adjudication

Any denied claims are re-adjudicated and resubmitted for approval

Why Medicare Reimbursement Services to Corida Technologies?

Besides granting you the fastest reimbursements within a relatively short period, availing our services provide you with the following advantages –

Patient Data Security

All hospital and patient information are safe in our care. We do not reveal any information and strictly abide by our non-disclosure agreement.

HIPAA Compliant

We are known for our accurate report submission per the Health Insurance Portability and Accountability Act (HIPAA) standard.

Cost-effective Services

Our services are a value for your money helping you save time and other resources that you could utilize to handle crucial matters.

State-of-art Technology

We possess the latest billing technology ensuring high-quality and flawless services.

Experienced Team

All reimbursement claims are handled by our team of experts. We have a thorough knowledge of the Medicare fee schedule 2020, Medicare physician fee schedule Medicare billing schedule, Medicare reimbursement guidelines, Medicare hospital follow-up codes, etc.

Unerring Services

Our error-free services provide you with faster reimbursements and considerably low denial rates.

High-Quality Screening

We scrutinize and send across all applications to expedite the reimbursement process.

Rapid Turnaround

With our swift submission and awareness of the Medicare payment schedule, we are focused on providing you with all reimbursements at the earliest.

Personalized Assistance

With a single point of contact, we effortlessly handle all your reimbursement applications.

Precision in Data Archiving and Extraction

Every detail is meticulously archived by us for future reference.

High-priority Service

We prioritize your claims based on the urgency and irrespective of the magnitude of the claim we do not distinguish between applications.

All-round Support

Our services can be availed worldwide across all time zones. Our team can be reached out to via chat, phone, e-mail, or across our social media platforms 24/7 throughout the year to set you up with on-site consults and the necessary help.

To increase compliance with the modern data-driven healthcare system, payers find themselves ever-dependent on analytics and insights to take appropriate actions. All of this is crucial for improving the quality of health provided to communities. So if you want your practice to focus on patient care, outsource healthcare payer services so that our connectivity and data-driven analytics will help you analyze and deliver insights by accounting risks, operational efficiency, and BI to take your health plans forward.

Corida Technologies is a top healthcare payer services providing company with 24 years of experience in a range of healthcare payer services including payer analytics solutions, health payer intelligence, and more. We use cutting-edge infrastructure to maintain our dominance as the best provider of healthcare payer services in India.

Healthcare Payer Services We Offer

Being a top healthcare payer services providing company, we are excited to serve you with the best of payer services money can buy. In India and across the globe, we are considered as an exceptional healthcare payer service provider because we offer the following services

Improving Risk Score Accuracy

If you’re worried about losing payments due to improper claims processes, we will help you foresee fraud, waste, and misuse of payments and avoid making such transactions in the first place. We also help you recover the lost payments through whatever ethical means possible.

Filtering Watch List using Software

We monitor payments and customer data, post which we provide updates when a match is detected against the payment watch list. We make sure to meet the regulatory compliance wherever needed using intelligent software.

Payment Reimbursement

As a professional healthcare payer solutions company, we help payers get reimbursed by getting their receivables processed from walk-ins to discharge. We are effective at processing dues and getting the mount reconciled earnestly.

Healthcare Value Optimization

Our capabilities would help you move further from basic monitoring and reporting activities to leveraging prescriptive analytics with more data-driven measures for decision-making. It doesn’t matter if you have issues with payment or claims, our insights would improve outcome and patient experiences with accurate forecasting and sound planning.

Call Center

We provide state-of-the-art call center support to payers in many languages so they get timely assistance whenever possible.

Payer Administrative System Modernization

Our services include payer admin support for premium billing, enrollment, claims, and fulfillment of member services. Our solutions improve coverage and focus on system modernization of the existing system.

Patient-centric Care Management

You can take advantage of our patient care management where we bring the best of home health monitoring, care coordination, and ambulance dispatch to help patients receive the best experience.

Information Technology Strategic Advisory

If you need strategic advisory to align payer’s business, we will allow your clients to be productive and efficient at optimizing care.

Healthcare Payer Process We Follow

By outsourcing healthcare payer services, you’ll be supported by the best healthcare payer service provider to create a seamless experience for patients. Quality of services is where we peak overall competitors. Our process is as follows –

1. We discuss project challenges and scope with clients to understand their requirements
2. A custom plan will be put together incorporating the best strategy to address existing challenges
3. We advise the solution and wait for the client feedback
4. After payer services are approved, we will congregate a team and instruct them on the process and compliance
5. Healthcare Payer services will be carried out as per SLA
6. QA teams will monitor the entire process and sign off once completed
7. We send reports for client review

Why Choose Healthcare Payer Services from Corida Technologies?

healthcare payer services to Corida brings you more than one benefit. Here are the merits of working with us –

Certified Healthcare Payer Services Company

Healthcare payer services providing company strictly complying with international quality.

Data Security

Your data is in safe hands as we take great care to ensure security through an internal audit of our systems.

High Accuracy and Quality Service

We are always ahead of other providers in providing quality services. Our dedicated QA teams will assess the accuracy to help you stay on the right path.

Pocket-friendly Pricing Options

You’ll find our rates affordable as we don’t charge our clients for what they don’t need. Instead, our focus is t deliver specific services and charge them for select choices.

Modern Infrastructure

We have a modern infrastructure that is well-connected and supported by IT teams on a round-the-clock basis. Our infra helps you avoid implementing a new one.

Short Turnaround

Our turnaround times are shorter than most other healthcare payer service providers because we follow an agile model.

Scalability

Corida healthcare payer services can be scaled to support your need for bandwidth.

Experienced Team of Healthcare Payer Agents, Project Managers, IT Personnel

We have mid-level to senior professionals who have vast experience in healthcare payer services. Most of our team have been with us for more than a decade.

Round-the-clock Availability

We are highly available through email, web chat, and phone call to address your queries and concerns.