Health insurance industry is highly concentrated and Third Party Administration is proved to be a backbone organization for Health insurance companies. It helps in processing claims, collecting documents and handling claim related administrative processes to expedite the claim process. The multidimensional services by TPA helps the claimant and the insurance company in timely and accurate claim processing.
TPA always face challenges like incomplete information, duplication of the records, multiple claims of the same claimant at the same time, missing information or records and most importantly TPA are handling voluminous claim records every day.
- Claim document sorting.
- Document linking to the source claim.
- Notifying incomplete or missing documents.
- Reorganizing documents based on claim requirement and state law requirements.
- Directing the documents to the respective TPA representative.
- Keyword Indexing.
Your association with ITCube will give advantages for:
- Timely claim processing.
- Maintain integrity of the data for claim approval process.
- Eliminate efforts to reorganize the large volumes of records.
- Cost optimization.
- Can handle self-insured and Workers’ compensation claims simultaneously.
- Data security.
- A team of highly experienced staff including doctors and healthcare experts on board.
- More than 8 years of experience in handling medical and insurance records.
- HIPAA compliance.
- Work culture following Principles of lean, six sigma and zero defect.