Business Processing Office:
Infotech Global provides a range of IT solutions and BPO services that enable organizations to integrate diverse systems, translate data, enhance workflow, and improve administrative efficiency. Infotech Global'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
- Claims/Forms Scanning & OCR
- Data Entry
Back-End Module:
This facilitates the following activities:
Claim Processing
- Conversion to EDI (any to any format)
- Transmission to client and/or its trading partners
Reporting
- Standard productivity, aging, and backlog reports
- Facilitates accreditation process
Auditing
- Encrypted data transmission
- All events auditing
Document Flow
- Queue-based work distribution for claims and correspondence
- Automated cross-departmental issue resolution
- Direct access to backlog information
Customer Service
- Immediate access to provider and member images and information
- Automated call tracking (life cycle tracking)
- Contact Service Forms and tree-structured audit trail
Provider Contracts
- Provider contract and fee schedule maintenance
Enrollment
- Group membership enrollment & maintenance
- Electronic enrollment
Benefits Management
- Maintaining benefit files
- Maintaining capitation files
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