With improving follow-up capability of care providers due to global delivery; payers need more quality resources to avoid inaccurate reimbursement.

NSI works as a dedicated partner with the payer providing high quality SLA-driven claims customer support and adjudication service utilizing a mix of offshore and onshore staff.

Out healthcare adjudicators are trained on multiple plan designs and platforms, which ample knowledge on medical terminologies and analytical capabilities. We ensure complete accountability of the data. With out systematic and high standard output, healthcare payers can save up to 30% of their adjudication costs.

During the training, our claims adjudicators go through client specific training to learn the client's insurance plans, systems and claim types. NSI works with the client to create a detailed project plan, verify the requirements and determine the critical success factors that need to be met. In addition, a comprehensive communication plan is developed to define the communication channels and to review status, issues and amendments to plans. A dedicated Project Manager manages the entire process. During client specific training, our operation begins with full supervision and 100% claim review until the team in training becomes proficient and earns client certification.

Data Capturing
Pre-Adjudication
Post-Adjudication
Contracts Management
Claims Fraud Analysis
Customer Support
Patient Scheduling
Demographic Entry
Patient Registration
Medical Coding
Medical Transcription & SOAP Notes
Payment Posting & Reconciliation
Denial & Rejection Analysis
A/R Follow up & Recovery
Schedule & Appointment Maintenance
Help Desk
Call Center Support
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