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Business Processing Office :

IGI provides a range of IT solutions and BPO services that enable organizations to integrate diverse systems, translate data, enhance workflow, and improve administrative efficiency. IGI's outsourced services provide clients with a solution for developing custom software and application hosting, furthermore streamlining and reducing the costs of managing back office and non-core business processes.


A solution overview is given below:

 
 
 
 
     
  The solution essentially comprises of two modules:  
     
  Front-End Imaging Module  
 

An integrated forms processing and document management solution that encompasses imaging, data capture, date entry, transmission, storage and retrieval.


 
  • Mailroom Sorting & Prepping for Claims and other Forms

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  • Claims/Forms Scanning & OCR

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  • Data Entry

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      Back-End Module  
         
      This facilitates the following activities:  
         
     
    Claims Processing

     
  • Conversion to EDI (any to any format)

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  • Transmission to client and/or its trading partners


  • Reporting

     
  • Standard productivity, aging, and backlog reports

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  • Facilitates accreditation process


  • Auditing

     
  • Encrypted data transmission

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  • All events auditing


  • Document Flow

     
  • Queue-based work distribution for claims and correspondence

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  • Automated cross-departmental issue resolution

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  • Direct access to backlog information


  • Customer Service

     
  • Immediate access to provider and member images and information

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  • Automated call tracking (life cycle tracking)

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  • Contact Service Forms and tree-structured audit trail


  • Provider Contracts

     
  • Provider contract and fee schedule maintenance


  • Enrollment

     
  • Group membership enrollment & maintenance

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  • Electronic enrollment


  • Benefits Management

     
  • Maintaining benefit files

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  • Maintaining capitation files

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      If you would like to learn more about this service -- click here.  
     
     
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