CLAIMS SOFTWARE ESTABLISHES & MAINTAINS A HEALTHY CLAIM & BENEFIT PROCESSING SYSTEM
Claim Processing comprises of multiple administrative & customer service layers that include review, investigation, and remittance of the claim. This is a complex procedure that involves three important stages - Claims Adjudication, Explanation of Benefits (EOB), and Claims Settlement. Health Insurance Companies, Third- Party Administrators (TPAs), Independent Physician Associations (IPAs), self- Administered Employer Groups & Managed Care Companies use Claims Software to record customer data, prepare claim reports, and process claim benefits.