The claim pre-adjudication process consists of entering the data to verify the member and provider information, duplicate checks, logically organizing it for future use, and send it to the core system for processing. This results in increasing first pass adjudication rates and decreasing processing intervals.

The professionals at NSI are highly experienced individuals with in-depth knowledge of the various policies, plans and healthcare providers in the US .

With NSI's systematic process of pre-adjudication, we have a greater control over the over claims, improved quality, shorter turn around time, and dramatic reduction in operational and IT expenses.

NSI ensures a complete accountability of data to its costumer with comprehensive reporting structure.

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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