Payer Services

Our distinct payer services in healthcare offer tremendous value and ROI to healthcare payer organizations of any size.  Our Payer Service solution to the healthcare industry will Determine Coverage, Reduce patient, eligibility-related denials, and Improve cash flow.

Automate and simplify operational tasks associated

Payer Service Solutions

The face of healthcare is rapidly changing. Rising costs, healthcare reforms and rising consumerism are reshaping the industry today – providing new challenges and creating opportunities for payers to create a smarter, more efficient, consumer-focused healthcare system. Atom Healthcare has been delivering remarkable results for payers that meet the exact needs.

These challenges require health plans to achieve a much greater level of operational efficiency to unlock cash for investments in the future while achieving a best-in-class operating model. Payers need to manage costs, provide quality care, and invest in new age processes and systems to grow and thrive. 

Our Payer services, other solutions and counseling speed time to market, lower ownership costs, and increase ownership esteem for our payer clients. Our solutions on analytics have helped our payer clients interpret data into information and provide meaningful insights for actionable business decisions.

Provider Data Management

Our data cleansing and Verification services (DCAV) brings consistency to the health plan’s provider data, is often necessary to bring consistency to health plan’s data.

Claims Processing

As a payer business process services provider, Atom Healthcare provides claims data entry resources who process claims with high degree of accuracy while adhering to turnaround times service levels.

Member Enrollment Services

Member enrollment, the first step in the Member Servicing cycle, is a critical business process that is often fraught with numerous errors and irregularities, due to paper-based, manual processing.

Claims Review and Contestation

Our expert team has a capability of performing the below services for Medicare Advantage as well as Medicare Advantage Prescription Drug plans