Medical Claims Processing Services  
 
Medical Claims Processing Services
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Medical Claims Processing Services
Health Plans, TPAs, MCOs and MSOs
 

Opportunities

Our clients are Health Plans, Third Party Administrators (TPAs), Medicaid  MCOs, and MSOs who give highly individualized and personalized service to their clients. For them, responsiveness is critical. Growth is high for many of our clients who have earned the trust of their clients by ensuring compliance as the industry around them changes.

While cost efficiency is foremost in our clients minds, they demand the same level of thoughtfulness in the services they seek from MedValue as the tailor-made products and services they provide their clients.

Challenges

Despite all of the above, our clients face rising costs for claims processing, staff turnover, lack of qualified people and increasing IT capital expenditures. Their customers are highly demanding, the environment is increasingly competitive and are losing their margins.

Services

MedValue works closely with our clients to provide Claims Support Services that meet their unique needs. Our Paper Claims-to-EDI Conversion Services are custom designed for each of our clients who are over burdened by mountains of Paper Claims.

Simple and affordable, MedValue's turnkey solution for paper claims administration cuts claims processing costs, improves accuracy of paper claims adjudication, enhances productivity of claims examiners and archives paper claims for easy and convenient access anytime through an intuitive and secure web interface.

Benefits

  • Eliminates handling of Paper Claims
  • Cuts Paper Claims Processing Costs by 30%-40%
  • Archive, Search, and easily Retrieve Paper Claims at the click of a mouse
  • Improves accuracy of Paper Claims Adjudication
  • Improves HIPAA and CMS compliance for audit trails and paper claims tracking
  • Reduces storage costs
  • Improves turnaround times for processing.
MedValue Solutions
 
Medical Claims Processing Services   MedValue Paper Claims to EDI Services
Simple and affordable, our Paper Claims to EDI service automates your front-end claims processing, cuts costs, eliminates the manual data entry, and improves accuracy.

MedValue Paper Claims to EDI Services


Medical Claims Processing Services
  MedValue Automated Payment Services from EOBs
MedValue has developed an innovative service, which combines our knowledge of the Payment Posting process, with a proprietary software and qualified staff to convert your Paper EOBs to an Electronic Remittance Advice (ERA) in ANSI-835 format.

MedValue Automated Payment Services from EOBs

Medical Claims Processing Services   MedValue Member Enrollment Services
MedValue has experienced teams for specifically processing Enrollment forms. Our team accurately processes Enrollment forms for the health plans and enrolls the members in your system on a timely basis as per health plan guidelines.

MedValue Member Enrollment Services

Medical Claims Processing Services   MedValue Authorizations Support Services
MedValue's Authorizations Support Services enables your departments to eliminate paper and populate their Claims Adjudication Systems with Authorization forms received without requiring manual data entry at their end.

MedValue Authorizations Support Services

Medical Claims Processing Services   MedValue Claims Adjudication Services
MedValue Claims Adjudication services utilize claims professionals who are trained on multiple adjudication platforms and plan designs. Our Adjudicators have knowledge of medical terminology and are analytical problem solvers.
 

MedValue Claims Adjudication Services

Medical Claims Processing Services   MedValue Document Management Services
MedValue DMS™ enables your team to scan and capture paper claims and their attachments with any scanning device and index, search, and retrieve all of your paper claims and their attachments within seconds. Secure and HIPAA compliant, MedValue DMS™ is a web-based hosted solution that provides your staff and management team complete access from any PC with an internet connection.

MedValue Document Management Services

  MedValue Provider Database Maintenance Services
MedValue Provider Database Maintenance Services accurately sets up new Providers, Provider Groups, and Facilities into your Claims Adjudication System.

MedValue Provider Database Maintenance Services