claims processing SERVICES
Strengthen and grow your customer base with full-suite claims management solutions for insurers.
24/7
365 Operating Services
30+
Processing languages
1000+
Experienced employees
100%
Data security &
Quality Assurance
Enjoy fast, hassle-free, and accurate insurance claims processing with a high success rate
Claims processing is the series of steps that an insurance company takes to determine whether it will pay for a claim. This process involves reviewing the claim, investigating the circumstances of the claim, and determining whether the policy covers the loss or damage. If the claim is approved, the insurer will typically pay the policyholder according to the terms of the policy.
Many businesses are finding that outsourcing non-core processes can improve efficiency. Insurance claim processing is one such process that has become increasingly outsourced by insurance providers.
The claims processing process is responsible for resolving outstanding payments in various industries, including healthcare, insurance, finance, and accounting. Generally, each company has a separate claims division dedicated to managing workflow for each claim once a formal request is submitted.
Outsourcing claims processing services allows you to focus on your core competencies while accessing competent services from specialized providers. It can accelerate growth by improving sales performance, streamlining sales and service.
Claims processing services
We provide accurate and cost-effective industry-optimized claims processing services to streamline your business processes. Our experienced and professional staff ensures high-quality and accurate data. Here’s a brief overview of our professional services:
Claims data entry service
Outsourcing claims data entry can boost productivity and accuracy. We create a customized template for capturing information, complete with fields for validation, provider lists, and medical codes. The layout of the output file is clearly defined, and data entry begins once claim forms are received. Our expert team is experienced in processing various claim types.
Medical claims processing service
We offer a comprehensive service package to check, approve, and pay for the medical services that clients receive from healthcare providers. Our medical claims processing service helps insurance companies manage their costs and ensure that customers get the benefits they are entitled to.
Insurance claims processing service
If your insurance firm is receiving many commission statements, claim requests, and other documents, we can quickly and accurately organize the data from different sources. We utilize intelligent automation and BI to perform various tasks such as data entry, application processing, insurance claims examination, and clearing backlogs with OCR to reduce processing time.
Hospital discharge document processing
Our services support the hospital procedure that involves preparing, sending, and receiving the documents that contain the information about a patient’s hospital stay and follow-up care. The documents may include a discharge summary, a discharge plan, a medication list, a follow-up appointment schedule, and instructions for self-care. DIGI-TEXX makes sure the patient and all healthcare providers involved in their care have an accurate and clear record of the patient’s condition, treatment, and needs after they leave the hospital.
Our Deployment Models
Your Industry will benefit the most form our services
DIGI-TEXX implements automation claims processing tools and models to provide solutions for various industries. By combining technology with human analysts, we can efficiently analyze large amounts of data, resulting in cost savings and improved performance. There are several use cases across many industries:
BANKING
Our professional claim processing services employ experienced specialists to help process claims faster with a high accuracy rate, supporting to detect and prevent fraudulent claims. This can help reduce losses due to fraudulent claims and protect the bank’s reputation.
INSURANCE
We streamline the claims handling process, reducing the time and costs associated with maintaining an in-house claims processing department of insurance institutions.
healthcare
DIGI-TEXX helps healthcare providers receive reimbursement more quickly for the services they provide, reduce the administrative burden on healthcare providers, freeing up staff to focus on patient care.
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What makes us an ideal claims processing service provider for you?
Our company offers claims processing services to clients worldwide, delivering high-quality results. Outsourcing your claims needs to us provides a range of benefits, including:
Flexible pricing model
We offer flexible pricing models based on the hour/transaction/volume and dedicated resources/packages. Clients can select the right model which best fits their purpose.
Round-the-clock support
Our operation is 24/7/365 as the client’s business continuity is always our top priority.
Data security
Confidential information will remain secure and be restricted from outside exposure with a reliable information security management system (ISMS) based on the ISO 27001 standard with GDPR compliance.
Data accuracy
At DIGI-TEXX, we understand that data accuracy is the first and critical component/standard of the data quality framework. We combine AI technologies and our specialists to ensure the highest accuracy rate.
Cost optimization
Outsourcing transforms fixed costs into variable costs and allows our clients to prevent large expenditures for business in the early stages and long-term run.
Scalability and flexibility
Our service can adapt quickly to fluctuating volumes without compromising productivity and processing quality.
Let us answer your questions
Our team of experts is here to answer any questions you may have and provide you with a free consultation. If you don’t see an answer for you below, feel free to send us a message.
Do you want to process claims faster, reduce your operating costs and drive efficiency? Let’s get in touch!
We are a trusted provider of claims processing services, with over 200 happy customers worldwide. If you are looking to outsource, we can help. Share your business goals with our experts, and we will respond promptly.
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