Claims Adjudication ensures that medical claims are accurate, valid, and necessary. These claims are also important sources of data for healthcare organizations to monitor the trends of rejections and prepare the strategies accordingly.
Served over
Rise
25 Years of Expertise in Claims Adjudication
Our team has over 25+ years expereince in Managing claims and adjucating them as per the healthplan requiremets.
Our integrated claims management portfolio has been enabling our clients to make their claims processes as seamless as possible, elevating customer experiences. We help clients to automate processes thereby minimizing risks ranging from wrong encounter submissions to staging of rejections and timelt filing issues. Our analytics practice empowers our insurance clients with a host of solutions and predictive models to guard against risks and take proactive decisions for business growth.
What Makes Our Process Better
Expert team
With over 25+ years of experience in Claim adjudication, our team is experienced in handing CMS1500 and UB92 claims forms submitted in as hard copy, electronically or via Web Portal.
HealthPlan Guidelines
With Health Plans changing their policies and procedures on a regular basis, claims adjudication can be a complex task, However our team makes sure to regularly communicate with the health plans & providers to understand the policies and apply them effectively.
Protecting Privacy
We at Guhilot health ensure that we act as an advocate. To protect private and confidentiality issues of the patients.
Impactful training & tools
We at Guhilot healthcare understand that authorizations can be vital in day-to-day life, providing impactful and resourceful training to our team ensures that the team is ready to handle any kind of situations.
