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Claims Processing

Claims Data Entry: Technosoft has a claims team with significant years of experience in claims data entry for HCFA, UB and various dental claims forms. Our IT expertise teamed with the skill sets of our data entry resources equips us to mange high volumes with quick turnaround time and high accuracy. Our proprietary tool can be customized to client requirements and generate 837 EDI output file.

Claims Adjudication: Technosoft’s claims adjudication team consists of experienced staff with hands on experience of adjudicating medical, vision, dental as well as HRA and Flex claims. This comes with the experience of having worked on multiple claims platforms like Facets, RIMS, El Dorado, Mentavance and client legacy systems to list a few. We offer reward and credit based delivery models to ensure high quality.

Claims Repricing: Technosoft’s Claims Re-Pricing experts have the experience of repricing claims via variety of methods including web-based tools and client legacy systems and business rules. We can provide re-pricing services to national and regional networks and can easily customize our solution to meet your organization’s needs.

Customer Service: Technosoft’s skilled resources can provide efficient customer service to both members and providers for verification of claim status - dental, medical, vision or Flex. Our team undergoes vigorous processes based on voice as well as accent training. We offer a 24/7 operations with onshore-offshore delivery model in our state of the art facilities based out of US and India.