Health Insurance Claim Forms Processing Services:

Forms processing services are considered by many as a commodity service. But if you are in the insurance industry you will realize how far this is from the truth. Insurance forms likeHCFA-1500, UB-92 (HCFA-1550), Dental Claim Forms Enrollment Forms Processing(EFP), Pends /Correspondence and Vision Forms come in many variations. Take the case of the HCFA claim form itself - there are about 50 different subtle variations to the form.

Each plan administrator, TPA, or benefit administrator has his own unique way to process a claim. Some index the fields as KWYS (Key What You See), while for some fields, they apply appropriate business rules. Again the rules can be varied from simple rules like date of service, to complex rules like Coordination of Benefits (COB) and from checking eligibility to verifying the total of the service line, etc.

The accuracy of the forms can be a challenge. While most other outsourcing companies offer quality at a field level, VeeInsure puts its self on the line and offers claim level accuracy. VeeInsure has service level augments which affect the pricing structure if the quality standards dip below pre-set benchmarks.

Claim forms' processing at VeeInsure is carried out at a complex tri level. It is a harmonious blend of:

Technology - We use technologies like OCR - we use optical character recognition to extract about 80% of the forms
Human judgement- our form experts are trained in form specific unique nuances, to pick up and apply rules, reject claims, reprice claims, etc.
. Process - We have inbuilt processes that check, validate and audit the claims, checks, and invoices

Try the VeeInsure experience.!! Its worth it. Please call us on 1-312-373-9346 or email at