Claims Processing

Process claims quickly and accurately with unparalleled operational efficiency and a strong focus on performance.

Appeals

Provide an efficient process for claim denial appeals with an automated, paperless process that speeds resolution.

Mailroom & Front-End Processing

Optimize claims processing with electronic technology that automatically routes paper mail, tags documents, and more.

Printing & Output Distribution

Streamline the creation and delivery of member and provider documentation for significant cost savings.

Call Center

Serve members and providers with state-of-the-art service that ensures compliance and plan-specific requirements.

Program Management

Select a single service or create a multi-service process with support from our program professionals.

Fraud Prevention

Detect and prevent fraud with clear policies and a highly targeted, comprehensive medical review strategy.

Medical Policy

Establish a well-informed, continuously monitored baseline for detecting and preventing improper payments.

Lean Six Sigma

Achieve best-in-class results with a managerial approach that combines Lean philosophy and Six Sigma efficiency.