Claims Data Entry
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Pending Claims Resolution
Atom Healthcare helps health plans with resources to process backlogged pended claims volumes. We categorize each issue, understand the root cause, and work with our clients to improve auto-adjudication rates, with a focus on reducing operational costs and improving turnaround times.
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bclc keno watch draws Atom Healthcare enables health plans to put in place claims repricing processes to ensure their claims are correctly adjusted and done so in a timely manner. We provide knowledgeable resources to help health plans save costs and improve turnaround time by contacting providers to sign-off on discounts, and reduce appeal times.
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Atom Healthcare’s deploys a team of claims adjudication specialist to help health plans reduce their claims inventory and the total costs to process. We can support the entire claims process through claims data entry, adjudication, and payments. We work with our clients to understand the root cause of claims falling out of auto adjudication, and improve the business rules on the platform to improve auto-adjudication rates bclc keno winners.
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