CLAIMS PROCESSING –
Prime’s Claimus, based on a decade of expertise in the healthcare industry, is likewise capable of assisting in claims processing. Prime’s diverse client portfolio represents its work in industry-leading software automation and business process outsourcing solutions, offering services such as application development, product engineering, and essential managed services all related to the medical claims processing procedure.
- No fraud risks
- Rapid information exchange
- Update patient formulary
- Perform final review
- Less paperwork
- Historical medications
These specialized services span across key segments of the healthcare ecosystem such as independent software vendors (ISVs), life sciences, providers, payers, and pharmaceutical companies.
The following are the key trends and challenges in the overall Healthcare industry today:
- Acceptance of EHR/EMR has become significant for meaningful use compliance.
- Medical claims processing is both the single largest business expenditure and one of the most visible customer experiences.
- Fulfillment and conformity to effective regulatory standards.
- Processing claims quickly, efficiently, and correctly the first time can be problematic.
- Maintaining sustained operational efficiency to ensure overall customer satisfaction.
With years of experience in healthcare claims management and claims adjudication, Prime’s Claimus offers each project an opportunity to significantly increase a healthcare system’s cash flow efficiency.