We excel in the delivery of a wide range of specialized services tailored for payors like you. We are uniquely equipped to support your healthcare business, regardless of size, professionally and in a highly cost-effective way.
We have partnered with a global pioneer in the claims process outsourcing arena, with proven demonstrable experience in insurance claims adjudication. We implement procedures and systems that are HIPAA compliant, to process and adjudicate medical claims. Our customers are attracted to our commitment to the pursuit of quality (we offer 99%+ accuracy at claims level). Our processing timelines comply with CMS guidelines. Our claims adjudicators are trained in industry standard claims adjudication software and can adapt to any claims adjudication system within a short period of time. Our quality and low cost is something to really get excited about. Isn't it time you decided to use MedFuel?
Service Highlights
No need to look anywhere else. Yes, we have seasoned veterans who do that.
Our Billing and Collection team provides customized and decisive solutions to Medicare and Medicaid HMOs, Commercial Insurance plans as well as PBMs, enabling them to achieve sustainable results. Our certified public accountants and financial analysts manage each process, using our robust data warehouse and state-of-art technology. We have partners who are fully equipped and well-positioned to cater successfully to all the needs of our clients, providing them with sound, full-cycle billing and collection solutions. The best part is we provide all of this in a cost-effective manner that will have you clapping.
Utilization Management is the evaluation of the appropriateness and medical need of health care services, procedures and facilities, according to preset criteria or guidelines, and also under the provisions of an applicable health benefits plan. It is a critical and core component of the healthcare system in the US and requires unique professional expertise. We offer world class specialized support in providing our clients with a full range of Utilization Management services for Part A, B & D.
You can rely upon our accurate and timely reports, strict adherence to UM codes, efficient evaluation by qualified medical professionals and proven expertise to bring you robust and reliable Utilization Management solutions. If cost-effective Utilization Management services are on your mind, look no further. Contact us today!
We have a large team of experienced Customer Care personnel ready to assist. It too is world class for a couple of reasons:
Let us show you how we can help your organization. Just call or email and we will get it scheduled.
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