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ClaimsXM Managed Service 

ClaimsXM is a next generation, scalable managed service solution that integrates claims administration and customer service to enable payer organizations to meet their business needs by assuring timely and accurate payment of healthcare claims. ClaimsXM is a fully integrated claims processing and workflow system utilizing the Facets Core Administration platform which is trusted by more than 75 healthcare organizations. Through our industry experts, standardized processes, cutting-edge technology and data insights our solution will ensure our client's needs are met for today and tomorrow. 

OUR CLAIMSXM SOLUTION

INDUSTRY
EXPERTS
STREAMLINED
PROCESSES
CUTTING-EDGE
TECHNOLOGY
DATA
INSIGHTS

Health Plan Administration

Member, Contract, and Provider Management

Payer Credentialing

Coordination of Benefits | eOHI Discovery

Paper to Electronic

Document and Workflow Management

Data Analytics and Reporting

Referral and Authorization

Electronic Claims Management

Payment Integrity

Auto and Manual Claims Adjudication and Processing

Payment Processes

Payment/Pricing Methodology

"I'm proud for bringing forth a program that has had the greatest positive impact to Veterans and Providers that I have seen throughout my entire career.

Contracting Officer  |  Department of Veteran Affairs

Transforming the Healthcare Experience

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Our ClaimsXM managed service offering represents the culmination of our people, process, and technology.

This data-driven approach to claims administration is an innovative, rules-based solution that streamlines and reduces excess administrative costs, burdens, and inefficiencies. 

Since the initial launch in 2021, ClaimsXM has reached an auto-adjudication

rate of over 94% and has processed over 25 million medical claims. 

Abstract Surface

In the Epicenter of Healthcare

Our team of industry experts have experience working with both payers and providers in the public and private sectors of healthcare. Not finding what you're looking for? Check out Signature's other capabilities or contact us today for additional information.

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