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Entrust your claims process to us. Pre-adjudication: including processing, documentation management and data entry/correction. Adjudication: including adjudication for Medicare (PPO, HMO, PFFS), Medicaid FSA, HSA, managed care, dental, vision, behavioral, workers comp, student health, PBM pharmacy, group life, FEP claims, and local and federal compliance. Also, claims administration: including amount determination, member record updates, payment processing, claims adjustments/reporting, correspondence management, investigations and resolution, and audit support. And, post adjudication support: including data mining, overpayment reconciliation/recovery and medical cost management.

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