HBMA FALL 2013
Annual Conference
in Las Vegas
Sept 18-20, 2013 www.hbma.org
HFMA's 2013 Annual Conference
Orlando, Florida
June 16-19, 2013 www.hfma.org
HIMSS Annual Conference 2013
New Orleans
Mar 03-07, 2013 www.himss.com
Radiology Summit 2013
Colorado Springs, CO
May 19-22, 2013 www.rbma.org
ASCO Annual Meeting 2013
McCORMICK PLACE
CHICAGO, ILLINOIS
May 31- June 4, 2013 www.asco.org
MGMA Annual Conference 2013
San Diego, CA
Oct 06-09, 2013 www.mgma.com
Our Claims Adjudication Expertise includes working with Third-Party Administrators (TPAs) as well as Insurance Payers. We provide the following services:
Data Processing:
New Member enrollment
Updating Existing member Records (in case of change in policy and eligibility terms)
Data Capture & other mail room services
• Data capture from claim forms (UB92, HCFA 1500)
both offline and online
• Digitization and indexing of any kind of text
into digital format
Premium Administration
• Application of periodic premium received to
individual accounts
• End of day balancing of suspense accounts
Adjudication:
Entitlement:
• Identification of
the patient to determine if the individual is covered by an
active policy
Duplicate Claims:
• Verifying
to make sure if claim is duplicate
Adjudicate validity of claim/Fraud detection:
• Compare HCFA
1500/UB 92 with Medical Remittance Notice and adjudicate if
submitted claim is valid
