Leading industry
analysts agree
that BPO is
one of the
fastest-growing
areas of IT,
perhaps expanding   
at more than twice   
the rate projected   
for overall
IT spending.

Claims Receipt/Imaging

• Promptly and efficiently handles receipt of all medical and dental claim form types, including attachments and superbills in HSP's mail center
• Sorts, scans and images paper claims to eliminate paper
• Automatically date and time stamps claims and assigns a unique identifier
• Replicates EDI ANSI 837 as easily identifiable HCFA 1500 image to expedite pre-processing and customer referencing

Claims Preparation

• Utilizes Claim Triage™ advanced technology application to apply sophisticated validation logic and editing routines that expedite data input
• Provides qualified staff and efficient tools to Key From Image (KFI)
• Expedites focused review of low confidence fields using member and provider data and diagnosis and procedure codes from host system
• Efficiently manages each step throughout the processing cycle
• Offer real-time status updates and reports through iTransact Web interface
• Eliminates duplicate claims
• Resolves pended claims quickly using UniFlow™ enterprise workflow solution

Load

• Easily loads and extracts data to existing host systems in flexible formats (e.g., flat file, ANSI 837, NSF, WebMD Envoy® format, etc.)
• Utilizes HIPAA compliant format to load data into HSP's MediTrac™ system
• Maintains audit trail to enforce claims turnaround times

Customer Access

• Eliminates 100% paper claims at customer site
• Enables viewing and retrieval of images from anywhere via standard Web browser
• Expedites retrieval of claim images by your customer service and provider relations staff using a wide variety of key indexes
• Supports output from customer site in host system format, ANSI 837 or print to paper
• Secures information based on user roles and permissions

Service Commitment

• Guarantees performance through meaningful, customer-specific service level agreements (SLAs)
• Provides management reports to monitor and enforce performance standards