CLAIMS

Stay One Step Ahead

Comprehensive Claims Support

A trusted BPO partner in claims administration services tailored for healthcare payers and TPAs.

Our expertise lies in enhancing efficiency and reducing inventory, ensuring smoother operations and greater profitability for your organization. We excel in delivering a range of essential services, all customized to meet your unique needs. Our commitment to optimizing the claims management processes ensures accurate, timely, and compliant resolutions, empowering your business to thrive in a dynamic industry landscape.

With our deep understanding of claims systems, processes, and industry changes, we focus on operational excellence and adaptability, helping you stay ahead of the curve so you can achieve your goals now and well into the future.

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Optimizing Every Aspect of Claims Management

We don’t get pain unless a claim is processed unlike staffing companies who bill for all hours, productive or not.

1 hour of Clarity work = 1.5 hours of traditional staffing work.

For every $40 paid to Clarity for our production, a staffing company bills 35-50% more hours to accomplish the same amount of work.

When you partner with us, we will help you reduce costs and quickly enhance performance.

BACKLOG REDUCTION

Streamline your operations and regain control over your workload.

MEDICAL RECORDS REVIEW

Ensure accuracy and compliance with meticulous reviews.

APPEALS

Navigate appeals processes with confidence and expertise.

SYSTEM CONVERSIONS

Facilitate smooth transitions with minimal disruption to your operations.

PROVIDER CONTRACT

Optimize your provider relationships and maximize value.

FILE MAINTENANCE

Keep your records organized and up-to-date for efficient processing.

NEW HIRE TRAINING

Set your team up for success with comprehensive training programs for new hires.

EXAMINER TRAINING

Enhance the skills and expertise of your claims examiners for improved outcomes.

AUDITS/QA

Identify areas for improvement and minimize risks through rigorous quality assurance.

REFUND PROCESSING

Ensure accuracy and compliance in refund processing workflows.

CREDENTIALING

Streamline processes to optimize provider networks and ensure quality care delivery.

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Unlock Efficiency with Strategic Consulting

Explore personalized solutions tailored to your unique challenges and objectives. From process optimization to compliance strategies, we’re here to guide you towards excellence.

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Empower Teams with Comprehensive Training

Our customized programs cover everything from basic file maintenance to advanced examiner training, ensuring proficiency and confidence at every level.

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Navigate Industry Changes with Confidence

From regulatory updates to technological advancements, we’ll help you adapt and thrive so you can confidently change with the industry.

Make Your Stake on Claims

Let’s transform your claims administration operations today.

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