Claim Adjudication

The fully dedicated Claims Examiners teams consists of experienced and dedicated healthcare claim adjudicators who provide services to several healthcare organizations such as HMO, MSO, IPA and Physician Medical Groups.

Specific services provided by this department include:

  • Hospital Claims
  • Professional Claims
  • Special Projects
  • Provider Dispute Resolutions (PDR)
  • Grievance & Appeals
  • Dental