Claims Processing Services

As a payer organization, it is essential for you to augment your health insurance claims processing process structure and reduce operating costs. Healthcare claims processing outsourcing and accuracy in health insurance claims processing are the key elements to improving your turn-around time and claims output.

Structured Concepts offers a convergence of these factors through high potential segments in healthcare claims processing outsourcing such as medical billing and coding, transcription and health insurance claims processing. Structured Concepts has been a pioneer in the claims processing outsourcing. Structured Concepts has proven demonstrated experience in offering Insurance Claims Processing services. The key attraction for our customers has been our quality and the turnaround time. Our teams operate 24x7 and are able to compress the Medical Claims Processing cycle. We have experienced professionals who do claims and health plans processing and analysis leading to claim validation and benefits assignment. Our experience has given us the knowledge and credentials to take us value added areas in claim processing.

We mark and manage core processing cost centers and generate considerable financial savings for your organization. Our health insurance claims processing services are driven by transactional efficiency. Our services help you achieve maximum automation of your manual claims resolution processes. They support new products and services, leverage your existing legacy system infrastructure, and also comply with the HIPAA mandated regulations for administrative simplification.

We can process individual HCFA (Health Care Financing Administration) forms and institutional UB-92 claims as well as Super Bills, Vision, Dental, Hearing, non-standard and prescription claims on a 12, 24, 48 or 72-hour schedule. Talk to us for more information.

More services from Structured Concepts

Document Conversion encompassing pre-processing, scanning, format conversion
Digitizing & Publishing for archiving, easy access and security
Document Coding using the best coding software, procedures and personnel
Indexing Services using human skills combined with world class indexing software
Medical Transcription leveraging on advanced digital technology and human resources
Medical Abstracting  using latest software and highly trained professionals
Medical Billing & Medical Coding including follow-ups, resubmission & contacting carriers
Forms Entry services with accuracy, security, confidentiality and cost effectiveness
Virtual Assistance providing administrative and personal support via phone and email
Scanning Services for photographs, slides, negatives and documents archives