HMO’s, TPA’s & Insurance CO’s

PreciStat provides claims administration services comprising of Data capture (PreciCAP TM), adjudication, research, overpayment recovery, denial management and plan administration support services tailored to assist Employers, Third Party Administrators and Insurance companies based in the US for the following

Claims Management & Admin services Financial Services Data Analytics
Key from Image(3) Refund Processing & Posting HEDIS GAP analysis & reporting
Medical Bill Review Payables Management Medicare risk adjustments score management
Compound Drug Key Process Value based reimbursement
Claim Processing/Adjudication
-Flexible Spending Accounts & HRA Plans
-Dental Plans
-Vision Plans
Patient base analytics
Member Enrolment STARS and Care Gaps Analysis
Utilization Management Support Quality of Care Gap Reporting
Inbound customer care for members, providers and Plan Administrators Wellness initiatives & surveys

PreciStat provides an efficient and reliable front-end solution for conversion of your paper documents to electronic format for EDI delivery to any backend system. PreciCAP TM is our integrated SaaS-based solution for image and data capture which streamlines the entire capture process by providing the capability to have independent stations for image processing, data entry (double key) and data verification. Our process dovetails into your auto-adjudication while significantly reducing administrative costs and reimbursement turnaround times.

Our consumer driven healthcare services effectively provide manual adjudication & member enrolment by industry experienced professionals on Client’s Application for employers, associations, financial institutions and other affiliate groups to reach their members and provide valuable self-directed programs.

What makes Precistat's Health Care Solutions Different !!

Process Driven Approach

We implement 'insights into End to End steps involved' to ensure that the Service Delivery chain is seamless for every Process.  For e.g., insights into Insurance Eligibility verification, Appropriate Demographic review & changes, EMR , Proper ICD-10 & CPT coding (include HEDIS reporting as required), timely filing reduces the denials & increases net collection rate.

Robust Reporting System

We provide detailed analysis & trends based on your specific requirements which may include complex areas like HEDIS Gaps, AWV survey, common cause variations based on patient behaviour, ER & Hospital admissions, RX costs etc.

Quick Turnaround Times

Our overnight processing capabilities essentially means that we are at your service 24/7 resulting in prompt and expeditious handling of all your administrative tasks

Customized Services

We are very flexible and can provide you with customized services to meet your specific requirements

One Stop Solution

We are a multi-specialty service provider that can help you in myriad ways to reduce your administrative burden and free you up to provide clinical care to the largest number of patients possible.

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