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
STANDARDIZED
PROCESSES
CUTTING-EDGE
TECHNOLOGY
DATA
INSIGHTS
Health Plan Administration
Member, Contract, and Provider Management
Payer Credentialing
Clearinghouse Services
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
Coordination of Benefits | eOHI Discovery
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