Health Claims

Maximize your success with the most powerful claims adjudication engine available on the market. Our customers boast the highest auto-adjudication rates in the industry as they process paper and electronic medical, dental, vision and spending account claims quickly and accurately. Options and parameters give you full control over auto adjudication, claim audits, reports and statements, referral tracking, provider network tracking, and pricing options. This module also supports a variety of UCR databases and the Ingenix Claims Edit Database for claim code editing. Integrate with Fraud & Abuse services, 3rd party repricers, and take advantage of our market-leading Joint Administration solutions.