Healthcare Medical Claims Processing Services

Research conducted to correct, update and validate claim data. Secure, online access is available to claim data and reports.

From eligibility verification through rules-based adjudication.

Generation of bills for enrollees and policyholders to cover monthly or quarterly premiums. Reconciliation assistance for payment verification, past dues, co-payment amounts etc., to ensure accounts are current.

High-speed printing of electronic documents, records, and images on an as needed basis for policyholder requests, disputes, provider requests and other “on demand” purposes. Bulk mail preparation and actual mailing of bills, statements of account, promotional material, settlement data as needed.

Management and maintenance of enrollment listings, coverages, plans, who is covered by what, and other vital records.

In-bound mail management of healthcare claims, handling and extraction of project-specific documentation either at client site or at a SOURCECORP facility. Services include logistics and tracking.

High- and low-volume paper-to-digital image conversion of healthcare claims. Images are captured and inspected for final storage and retrieval.

High-volume data extraction (OCR, keying) from healthcare claims in a variety of formats is accomplished domestically with maximum accuracy through quality assurance processes.

For transferring film (microfilm) to image.

Hosted electronic storage for multiple document formats. Employs a web-based interface that allows users to securely and easily locate and retrieve documents. Electronic document storage facilitates the healthcare payer claims process.

SOURCECORP provides a single solution for all forms of computer output management. Our computer processing capabilities reduce the workload on your system and personnel. Using our extensive data processing and software capabilities we provide you with an unlimited variety of custom-finished products and services.

SOURCECORP Statement Solutions works closely with our customers to define their business objectives as they relate to the look and feel of their communications. Once understood, we apply our knowledge and expertise to the creation of a document. We have many document creation tools from traditional sequential file processing, to database manipulation and sophisticated statement composition programs. We have invested heavily in document creation tools and apply the right technology to each customer’s business need.

SOURCECORP Statement Solutions Critical Accounts Payable Services provides a wide range of security check stock and envelopes that will help lower your overall check processing costs, while providing a significantly higher level of check fraud protection.

SOURCECORP has perfected a piece-level tracking system to help eliminate statement processing errors. This system called eTrac is incorporated into every job.

Electronic Statement Presentment

ESP+ improves your ability to communicate with customers and service representatives. By combining the power and reach of the Internet with our fast, intelligent deep archive and Internet presentment capabilities, you can store and retrieve your statements instantaneously with limitless capacity. Authorized users view requested documents in seconds. Customers and service representatives see the same information simultaneously, facilitating communication – shaving hours and even days off inquiry handling.

Electronic Document Delivery

SOURCECORP can provide secure email delivery and/or notification and seamlessly integrate this new delivery method with your print and mail documents. Email delivery and/or notification can be triggered by an event, such as document creation, month end or quarter end.

Documents can be embedded within a mail message, an attachment to a mail message, or as an attachment with a PDF document.

Internet Archive Features:

- An ability to store multiple document formats

- A centralized document repository which is an effective integration tool for related customer documents

- Unlimited storage capacity and scalability

- A simple web access for authorized users

- Links with the existing client web site and security system

- Comprehensive indexing and search capabilities for fast access

- PDF document presentment to provide an exact view of the original document