[et_pb_section fb_built=\”1\” _builder_version=\”3.16.1\” background_image=\”https://theme.drprem.com/design20wp-content/uploads/2018/10/slide-01-ENT-Surgery.jpg\” background_color=\”rgba(244,244,244,0.42)\” background_blend=\”overlay\”][et_pb_row custom_padding=\”100px||100px||true\” _builder_version=\”3.16.1\”][et_pb_column type=\”4_4\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_text _builder_version=\”3.16.1\” text_font=\”|600|||||||\” text_text_color=\”#4389c5\” text_font_size=\”38px\” text_line_height=\”1.2em\” text_orientation=\”center\”]Knowledge processing Outsourcing services[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=\”1\” _builder_version=\”3.16.1\” background_color=\”#f4f4f4\”][et_pb_row make_fullwidth=\”on\” _builder_version=\”3.16.1\”][et_pb_column type=\”2_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_text _builder_version=\”3.16.1\” text_font=\”||||||||\” text_orientation=\”justified\”]The health insurance sector is becoming more competitive and new operating models are coming into the spotlight. In a dynamic business environment, medical insurance payers must sustain their efforts in marketing and enrolment, building customer retention, and striking a balance between their profitability, purpose and perceived value. When it comes to medical insurance claims processing, the challenges are multi-faceted – volume, accuracy, speed of processing, administrative costs and regulatory compliance all have a hand in improving customer satisfaction.

Services

• Data entry of patient demographics, referring physician, CPT and ICD Codes, and Modifiers is entered into the medical billing software
• Scan the documents for billing errors and correct them if needed
• Adjudicate client claims for accuracy
• Submit and file the claim with the insurance company
• Follow up on the claims with the insurance company
• Apprise you of the status of the claim
• Provide IT solutions
• Medical Coding and Medical billing
• End-to-end Claim Processing:

Our comprehensive set of Claims Processing services manages all the facets of a health insurance claim. We ensure superior, faultless and low-cost output for our client’s claims, while utilizing our personalized, audit-quality process documents for regulatory compliance initiatives and training purposes. Our services include:[/et_pb_text][/et_pb_column][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_sidebar orientation=\”right\” area=\”sidebar-2\” _builder_version=\”3.16.1\”][/et_pb_sidebar][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=\”1\” _builder_version=\”3.16.1\”][et_pb_row make_fullwidth=\”on\” _builder_version=\”3.16.1\”][et_pb_column type=\”1_2\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_image src=\”https://theme.drprem.com/design20/wp-content/uploads/sites/22/2018/11/enrool.png\” _builder_version=\”3.16.1\”][/et_pb_image][/et_pb_column][et_pb_column type=\”1_2\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb title=\”Real Time Claims Processing\” use_icon=\”on\” font_icon=\”%%101%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\”]Calculation and Processing of payments to providers in case of direct billing Calculation and Processing of payments to clients in case of reimbursement cases
Data Entry Services
Digital Image Processing
Data Cleansing
Periodical reconciliation of payment with the client’s system and federal bodies.
KPO’s claims adjudication approach is simple – engaging a team of experienced and qualified claims adjudicators and a team of IT professionals to deliver efficient adjudication solutions to payers. By availing our services you experience a blend of people, processes, systems and technology that ensures exceptional quality, increased efficiency and significant cost savings.[/et_pb_blurb][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=\”1\” _builder_version=\”3.16.1\” background_color=\”#f4f4f4\” background_image=\”https://theme.drprem.com/design20wp-content/uploads/2018/10/Mount-Isa.jpg\” background_blend=\”overlay\”][et_pb_row _builder_version=\”3.16.1\”][et_pb_column type=\”4_4\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_text _builder_version=\”3.16.1\” header_font=\”||||||||\” header_2_font=\”||||||||\” header_2_text_align=\”center\” header_2_text_color=\”#4389C5\” header_2_font_size=\”34px\”]

Role of KPO

[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row make_fullwidth=\”on\” _builder_version=\”3.16.1\”][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb use_icon=\”on\” font_icon=\”%%240%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\” title=\”Reduce Cost\”]- Optimizing manpower
– automating processes
– Stricter control of claims
[/et_pb_blurb][/et_pb_column][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb use_icon=\”on\” font_icon=\”%%240%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\” title=\” Control Fraud/Abuse\”]- Control over all surveys
– Repository of data for cross matching
[/et_pb_blurb][/et_pb_column][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb use_icon=\”on\” font_icon=\”%%240%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\” title=\”Improve Turn Around Time \”]- Workflow based e-process
– Digitization of documentation
– Automation
[/et_pb_blurb][/et_pb_column][/et_pb_row][et_pb_row make_fullwidth=\”on\” _builder_version=\”3.16.1\”][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb use_icon=\”on\” font_icon=\”%%240%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\” title=\”DMS Paperless environment \”]- Reduce movement of files and paper
– E-approvals
[/et_pb_blurb][/et_pb_column][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][et_pb_blurb use_icon=\”on\” font_icon=\”%%240%%\” icon_color=\”#4389C5\” icon_placement=\”left\” _builder_version=\”3.16.1\” header_font=\”||||||||\” header_text_color=\”#4389C5\” header_font_size=\”21px\” background_color=\”#f9f9f9\” text_orientation=\”justified\” custom_padding=\”20px|15px|20px|15px|true|true\” title=\”Periodical reports on claims statuses as well as work-progress\”][/et_pb_blurb][/et_pb_column][et_pb_column type=\”1_3\” _builder_version=\”3.16.1\” parallax=\”off\” parallax_method=\”on\”][/et_pb_column][/et_pb_row][/et_pb_section]