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Claims Administration
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- Claims entry, duplicate check, and error correction
- Claims adjudication and pending management
- Claim payments
- Customer service administration
- Provider call center
- Customer/Member support call center
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Network Management
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- Provider credentialing
- Provider contract management service and Provider profitability analysis
- Provider database maintenance
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Medical Management
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- Utilization management
- Pre-certification
- Referrals and concurrent review
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Support Services
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- Member Management Services
- Member Enrollment and Eligibility
- Billing and Receivables
- Account Reconciliation
- Specialty Services
- Dental Claims Administration
- Vision Claims Administration
- Reporting and Analysis Related to Revenue and Medical Cost
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Toll free : 877.871.0194 Phone : 301.576.1497Fax : 301.576.5733 |
| Address : 11405 Royal View Court, North Potomac, Maryland 20878 |
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