Medical re-pricing is the best substitute for traditional health insurance plans to individuals as well as organizations in the most economical way. Re-pricing involves entering into an agreement with a preferred provider organization by combining a fee schedule with a medical claim. The PPO networks working on medical re-pricing are always flooded with the claims re-pricing paperwork due to the arduous paperwork and manual work involved in the process. A considerable amount of operational cost and processing time is involved to accomplish insurance claims re-pricing.
What Maven Healthcare does for you?
With our rich experience in medical billing and claims processing, Maven Healthcare can take away the pressure of the laborious process out of you, so that you can save your valuable human resources for other critical works. Our qualified billing experts are well acquainted with PPO health insurance claims re-pricing processes. Our skilled resource includes doctors, insurance data processors, underwriters and claims adjusters who have vast expertise in handling PPO health insurance and medical claims.
End-to-end claims processing at Maven Healthcare
- Re-pricing of claims manually.
- Submission of re-priced claims to preferred provider organization.
- Scrutinizing and validating claims.
- Provider table maintenance.
- Forms processing.
- Detection of fraudulence.
Our expertise in re-pricing
Maven Healthcare’s team can direct your claims in electronic data or paperwork to appropriate PPO irrespective of whether it is based on PPO’s web, a custom application or a spreadsheet fee schedule from PPO. Our experienced processing team has the capacity to provide all types of PPO process solutions to TPAs and PP Os. We offer provider table maintenance using best in the market web-enabled application software that is capable of handling varied pricing options and complex inter-relationship within networks.
At Maven Healthcare, claims are run through our web-based re-pricing system with appropriate re-pricing based on pre-negotiated PPO discounts. Daily claims re-pricing reports can be electronically generated and provided to clients.
Key differentiators with Maven Healthcare
- Cost effective claims re-pricing.
- Quick turnaround time for claims processing.
- High accuracy standards.
- Daily re-pricing reports.
- Leveraging the knowledge of qualified billing professionals.
- Uphold security and confidentiality of patient data.
Maven Healthcare at your service
Uphold your business objectives and focus your attention on it. Outsource your tedious and time consuming medical claims re-pricing project to Maven Healthcare. You can be rest assured that your valued claims will be your way with our right method of re-pricing process. Contact us: email@example.com