Claims Management

The Professional Touch for your claims with comprehensive analytics in a comprehendible format.

Entered Over
Claims
0 +
Served over
Health care specialist's
0 +
Abstracting
Savings on operational costs.
0 %

Simplifying Claims with Data-Driven Analytics

Making your claim processes as seamless as possible & elevating customer experiences.

Our Claims Management business ensures that your healthcare claims are processed efficiently and fairly, this can help you Reduce claim denials and rejections, maximize revenue for healthcare providers, improve efficiency for insurance companies, and Help customers in the best possible manner.

Encounter Success Rate
1 %
IPA's & MSO's
1 +
Provider Satisfaction
1 %

What Makes Our Process Better

Claims Adjudication

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.

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Insurance Eligibility & Verification

Insurance eligibility verification is the most important and the first step in the medical billing process. Guhilot Healthcare’s dedicated insurance eligibility verification team delivers a thorough verification, thereby aiding dramatic reduction of the clients’ accounts receivable cycle.

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Encounter Submissions

Encounter submissions are important because they help ensure accurate claim processing, reduce risk, and minimize financial impact. Our team makes sure to submit the encounters on a timely manner and also follow up on those encounters to ensure we have zero rejections.

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Credentialing

Maintaining up-to-date credentials for a physician across all contracted payers is an ongoing endeavour that can be as time-consuming as first-time credentialing. At Guhilot Health we make sure to gather accurate provider information, credentials, complete all the necessary documentation before submitting it to the payer.

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Reporting and Analytics

Guhilot health provides comprehensive back-office data, analytical and reporting services, offering tailored solutions to handle all your administrative, data management and reporting needs.

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