As the health care industry continues to evolve in a managed care environment, providers are coming under pressure as they deal with shrinking profit margins and increased operating costs. Insurance reimbursements are being lowered, and trying to collect for services rendered is becoming laborious and more employee intense.

Our services are designed to not just lighten the load for the providers, but to remove it entirely. We have spent time researching, securing customer feedback, and most importantly, solving complex billing issues for our clients. Below are some of the services that our state-of-the-art infrastructure enables us to offer our clients:

Control of accounts from claim-submission to collection of money Electronic claims processing Completely customized billing procedures Data preparation, coding and daily insurance claim submission Review fees and coding techniques to ensure maximum reimbursement Primary, secondary and tertiary insurance filing Rejections and no-action accounts worked and resubmitted Diligent follow-up with insurance companies within 30 days of filing of claim Relationship building with insurance companies on behalf of our clients Monthly management reporting Statistical and practice analysis

Our call center is staffed with a large number of billing experts whose sole purpose is to expedite payment and reduce claim rejections. We have a flawlessly functioning electronic claims processing system and a claims tracking protocol that maintains professionalism while ensuring persistence.

We understand the importance of HIPAA to our clients as being “covered entities.” Read more about what INOX is doing in the area of HIPAA to ensure compliance.

Healthcare Insurance

We can provide a comprehensive suite of insurance claims processing/adjudication services.

It is comprised of adjudicators who are highly skilled specialists. Many of our adjudicators come with expertise in a variety of health specialties.

Indian staff has access to scientific knowledge and proven claims-control strategies to help them handle claims consistently and accurately.

Our adjudication service standards strike a balance between providing timely service and allowing adequate time to assess claims with the degree of detail required to ensure sound risk management.

We Offer:

Data Capturing/Conversion Audit Claims Entry Determination of Eligibility/Benefits Determination of Fee Rates Capitation Verification of Authorization Verification of Contracts Generation of EOB Initiation of Check Cutting Appeal Queries Provider/Member Services Report Generation